Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Jackson

Individual provider Occupational Therapist · NPI 1659241511

Kathryn Jackson is an Occupational Therapist in Private Practice in Owasso, Oklahoma. Qualified in 2022, 4 years ago. Practices with Bespoke Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10710 N 121st East Ave
Owasso, OK 74055-5219
Phone: (918) 857-5284
Fax: (918) 857-5284
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5790 (OK)

Record details

NPI number1659241511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bespoke Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Owasso