COREY JACKSON D.P.T.
NPI 1154735611
Physical Therapist in Wichita, KS

Q: What is Corey Jackson's NPI number?

The NPI number for Corey Jackson is 1154735611. It was assigned to this individual provider in the NPPES registry on June 12, 2014. The provider is also known as Mr. Corey Jackson D.P.T..

Q: What is Corey Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Q: When was this NPI record last updated?

The NPPES record for Corey Jackson was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2014Accepts Medicare Assignment

3460 N RIDGE RD STE 80, WICHITA, KS 67205(316) 202-0340 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Corey Jackson D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY JACKSON D.P.T. (NPI 1154735611) is an individual physical therapist in Wichita, Kansas, licensed in Kansas (11-04877) and active in the NPI registry since June 2014. He maintains a secondary practice location in Wichita and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154735611

Entity TypeIndividualMale

Primary Taxonomy225100000X

Provider Legal NameCOREY JACKSONCredential: D.P.T.

Location Address3460 N RIDGE RD STE 80Wichita, KS 67205-1223

Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005 · (316) 263-0003

Phone(316) 202-0340

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 12, 2014

Last NPPES UpdateSeptember 27, 2023

NPPES CertifiedSeptember 27, 2023

✔ NPI 1154735611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225100000X

License✔ Licensed in KS · 11-04877

Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

Diagnose and manage movement dysfunction and enhance physical and functional abilities.
Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

3460 N RIDGE RD STE 80, Wichita, KS 67205

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Other Names 1

Professional Name (2)Mr. Corey Jackson D.p.t.

Secondary Practice Location 1

Location 11551 N Rock RdWichita, KS 67206-1255 · Phone (316) 858-1885 · Fax (316) 858-1892

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corey Jackson D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779844527

PECOS Enrollment IDI20180219002217

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

981 services124 patients

Therapy procedure using water pool to exercises, each 15 minutes 97113

This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.

964 services53 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

800 services146 patients

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283

Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.

715 services107 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

705 services131 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

701 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANELLE R PETRISOR

Physical Therapist