Keyley Lynne Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2-1194 Issued in AL

Practice address

12181 County Line Rd Ste 150
Madison, AL 35758-7740

Phone

(256) 489-1100

Fax

(256) 429-2197

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nesin Therapy Services, P.C.

  • Physical Therapy Clinic/Center
  • Madison, AL
  • NPI 1417021320
  Medicare reassignment NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1083320329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-713-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12181 COUNTY LINE RD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587740",
            "telephone_number": "256-489-1100",
            "fax_number": "256-429-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KEYLEY",
        "middle_name": "LYNNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "2-1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Keeley Ivey, MD
• J W Burns LLC
• Jackson Counseling Solutions, LLC
• Ambrea Dionne Jackson
• John Warren Jackson, DC
• Sarah Whitney Jackson
• Jagani Vision Associates
• Sunita Jagani, O.D
• Jitendra A Jain, M.D.
• Darrick D Jamar Jr., RBT

• Physical Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.