Miss Kelly A Jackson is a Staten Island, New York based therapist who is specialized in Occupational Therapy. Active license number of Miss Kelly A Jackson is 017963 for Occupational Therapy in New York. Her current practice location is 178 Manila Ave, Staten Island. Patients can reach her at 718-667-4703. Miss Kelly A Jackson is OTR/L in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1477896876.
Miss Kelly A Jackson provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Miss Kelly A Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Kelly A Jackson |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR/L |
| Practice Address: | 178 Manila Ave, Staten Island,
New York, 10306-5608 |
| Phone: | 718-667-4703 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1477896876 |
| NPI Enumeration Date: | 03 Apr, 2013 |
| NPI Last Update On: | 03 Apr, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Kelly A Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 017963 | Occupational Therapy | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miss Kelly A Jackson
178 Manila Ave,
Staten Island, New York |
| Zip: | 10306-5608 |
| Phone Number: | 718-667-4703 |
Patients can reach Miss Kelly A Jackson at
178 Manila Ave, Staten Island, New York or can
call to book an appointment on 718-667-4703.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.