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

MS. Shanel Loree Jackson, PT

Individual provider Physical Therapist · NPI 1780619817

MS. Shanel Loree Jackson, PT is a Physical Therapist in Private Practice in Clearwater, Florida. Qualified in 2006, 20 years ago. Practices with Pruitthealth Therapy Services Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2155 Montclair Rd
Clearwater, FL 33763-4287
Phone: (727) 380-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT24826 (FL)

Record details

NPI number1780619817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address2916 St John Dr, Clearwater, FL 33759-2122

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Pruitthealth Therapy Services Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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