Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1912306176

Kristen Jackson, PTA is a Physical Therapy Assistant in Valrico, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682
Phone: (813) 662-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA25124 (FL)

Record details

NPI number1912306176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 13, 2014
Mailing address3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682

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