Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770616138 Individual Practitioner Female Practitioner

Kellene Shey Jackson , COTA

Occupational Therapy Assistant • Maitland, FL

Professional Overview & Biography Verified Profile Summary

Kellene Jackson, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in Maitland, FL. Practice services are available at 1301 W MAITLAND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 W Maitland Blvd

Maitland, FL 327514338

Telephone 4076450034
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Maitland, FL (3883 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License FL 9463

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Bernadette Rollins

Physical Therapist

NPI 1003165283
Ashante Diltz , PTA

Physical Therapy Assistant

NPI 1134886104

Physical Therapist Assistant

Mindi Clifton , OTR, L

Occupational Therapist

NPI 1215287016

Occupational Therapist Registered, L

Hazel Gonzalez , PTA

Physical Therapy Assistant

NPI 1336807098

Physical Therapist Assistant

Thomas Herwig

Physical Therapist

NPI 1669955662
Charles Carter Ii , PTA

Physical Therapy Assistant

NPI 1679231492

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2010

Registered at 1301 W MAITLAND BLVD, MAITLAND, FL 327514338 (Tel: 4076450034)

📍
Updated Business Mailing Address January 10, 2010

Registered at 315 HOWARD BLVD, LONGWOOD, FL 327504616 (Tel: 4074023203)

👤
Provider Name / Credentials Updated January 10, 2010

Recorded as KELLENE JACKSON, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2010

Occupational Therapy Assistant (License #9463 in FL)

🟢
Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770616138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: January 10, 2010
Sole Proprietor: Yes

Mailing Address

315 Howard Blvd

Longwood, FL 327504616

Phone: 4074023203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.