Shanel Loree Jackson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24826 Issued in FL

Practice address

2155 Montclair Rd
Clearwater, FL 33763-4287

Phone

(727) 380-5250

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shanel Jackson Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pruitthealth Therapy Services IncGroup PAC ID 9335159730, 22 clinicians

Next PT Group Florida, LLCGroup PAC ID 3173865607, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Next PT Group Florida, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1730666355
  Medicare reassignment Care Compare group NPD
• Pruitthealth Therapy Services, Inc.

  dba United Rehab OPT at GA War

  • Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1013152933

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1780619817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 ST JOHN DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592122",
            "telephone_number": "816-241-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MONTCLAIR RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337634287",
            "telephone_number": "727-380-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHANEL",
        "middle_name": "LOREE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANEL",
            "last_name": "JACKSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim Jackson
• Lavett Jackson
• Lavonne Jackson
• Lawanda Bevel Jackson, APRN
• Mackenzie Jackson
• Dominique Leticia Jacobs
• Stephen H Jacobs, MD
• Ronald Jacobson, MD
• Jacqueline Hubbard, M.D., PLLC
• Teresa Jacquemoud

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.