Kelli Tracy Jackman, MPT - Physical Therapist in San Leandro, CA

Kelli Tracy Jackman, MPT is a Physical Therapist - Pediatrics based in San Leandro, California. Kelli Tracy Jackman is licensed to practice in California (license number PT 28294) and her current practice location is 981 Dowling Blvd, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at (510) 638-9618.

NPI number for Kelli Tracy Jackman is 1750698114 and her current mailing address is 981 Dowling Blvd, San Leandro, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750698114.

Contact Information

Kelli Tracy Jackman, MPT
981 Dowling Blvd,
San Leandro, CA 94577-2125
(510) 638-9618
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelli Tracy Jackman
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location981 Dowling Blvd, San Leandro, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750698114
  • Provider Enumeration Date: 09/08/2010
  • Last Update Date: 09/08/2010

Medical Identifiers

Medical identifiers for Kelli Tracy Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750698114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics PT 28294 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Tracy Jackman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Tracy Jackman, MPT
981 Dowling Blvd,
San Leandro, CA 94577-2125

Ph: (510) 638-9618
Kelli Tracy Jackman, MPT
981 Dowling Blvd,
San Leandro, CA 94577-2125

Ph: (510) 638-9618

Reviews and Comments


Physical Therapist in San Leandro, CA

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Medicare: Medicare Enrolled
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Phone: 510-454-1000    Fax: 510-675-3241
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Medicare: Not Enrolled in Medicare
Practice Location: 1850 Fairway Dr, San Leandro, CA 94577
Phone: 510-435-4708    

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