CORDELE JACKSON DPT, PT
NPI 1316808058
Physical Therapist in Middletown, DE

Active since November 21, 2025Accepts Medicare Assignment
210 CLEAVER FARMS RD STE 1, MIDDLETOWN, DE 19709(302) 449-2048(302) 449-2047 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2026, Nov 21, 2025 (2 updates tracked since 2025).

About Cordele Jackson Dpt, Pt NPPES

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

CORDELE JACKSON DPT, PT (NPI 1316808058) is an individual physical therapist in Middletown, Delaware, licensed in Delaware (J1-0015165) and active in the NPI registry since November 2025. He maintains a secondary practice location in Wilmington and is a graduate of Other (2025).

NPPES Registry Identity

NPI1316808058
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCORDELE JACKSONCredential: DPT, PT
Location Address210 CLEAVER FARMS RD STE 1Middletown, DE 19709-1670
Mailing Address1050 Industrial Dr Ste 210Middletown, DE 19709-2803 · (302) 449-2048 · Fax (302) 449-2047
Fax(302) 449-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 21, 2025
Last NPPES UpdateMarch 7, 20262 updates tracked since enumeration
NPPES CertifiedMarch 7, 2026
NPI 1316808058 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 DE · J1-0015165
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.
210 CLEAVER FARMS RD STE 1, Middletown, DE 19709

Secondary Practice Location 1

Location 13911 N Washington StWilmington, DE 19802-2147 · Phone (302) 764-8192

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

Cordele Jackson Dpt, Pt 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 ID547744021
PECOS Enrollment IDI20260323002733, I20260430002034

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 12

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

Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Occupational Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709
Physical Therapist
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cordele Jackson's NPI number?

The NPI number for Cordele Jackson is 1316808058. It was assigned to this individual provider in the NPPES registry on November 21, 2025.

Where is Cordele Jackson located?

Cordele Jackson practices at 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709. The listed phone number is (302) 449-2048.

What is Cordele Jackson's specialty?

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

Is Cordele Jackson enrolled in Medicare?

Yes. Cordele Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cordele Jackson was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.