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

Miss. Kelly A Jackson, OTR/L

Individual provider Occupational Therapist · NPI 1477896876

Miss. Kelly A Jackson, OTR/L is an Occupational Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

178 Manila Ave
Staten Island, NY 10306-5608
Phone: (718) 667-4703
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 017963 (NY)

Record details

NPI number1477896876
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013

Other providers in Staten Island