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

Mr. Keith R Jackson, OTR/L

Individual provider Occupational Therapist · NPI 1003009937

Mr. Keith R Jackson, OTR/L is an Occupational Therapist in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

600 N Blvd W Ste D
Leesburg, FL 34748-5063
Phone: (352) 787-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT9471 (FL)

Record details

NPI number1003009937
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 23, 2007

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