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

Individual provider Occupational Therapist · NPI 1205666120

Serenity Leilani Jackson, OTR is an Occupational Therapist in Port Orange, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1339 Coconut Palm Cir
Port Orange, FL 32128-7462
Phone: (386) 416-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1205666120
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

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