Individual provider Active NPI

Clare Quirk Jackson, MSPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1053671891
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18381 Issued in FL
Practice address
6808 S Sparkman St
Tampa, FL 33616-2525
Phone
(813) 347-7241
NPI assigned
May 28, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515001306 KS Practitioner - Physical Therapist in Private Practice 5597889923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18381FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Jan 27, 2024 Accepting new patients
Integrated Clinix Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Feb 23, 2023 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 25, 2023 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Jul 30, 2024 Accepting new patients
Performance Rehab Institute & Sports Medicine, Inc. Past Accepting new patients
Direct Access Counseling & Supportive Services, LLC PastSince Sep 12, 2017 Accepting new patients
Tarpon Springs Hospital Foundation Inc Past Accepting new patients
Dedicated Physical Therapy and Wellness LLC Physical Therapist PastSince Jun 27, 2021 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT18381 FL Primary

Addresses

Primary practice location

6808 S Sparkman St
Tampa, FL 33616-2525

Mailing address

2106 Brandon Park Cir
Brandon, FL 33510-3946
Phone (813) 347-7241

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1053671891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BRANDON PARK CIR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103946",
            "telephone_number": "813-347-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 S SPARKMAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336162525",
            "telephone_number": "813-347-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CLARE",
        "middle_name": "QUIRK",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.