MR. THOMAS WILLIAM JACKSON MSPT PT
NPI 1326682618
Physical Therapist in Newark, NY

Active since October 30, 2019
1200 DRIVING PARK AVE, NEWARK, NY 14513(315) 332-2289 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2021, Oct 30, 2019 (2 updates tracked since 2019).

About Mr. Thomas William Jackson Mspt Pt NPPES

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

MR. THOMAS WILLIAM JACKSON MSPT PT (NPI 1326682618) is an individual physical therapist in Newark, New York, licensed in New York (011505) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1326682618
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. THOMAS WILLIAM JACKSON MSPTCredential: PT
Location Address1200 DRIVING PARK AVENewark, NY 14513-1090
Mailing AddressPo Box 111Newark, NY 14513-0111 · (315) 332-2289
Sole ProprietorNo
Enumeration DateOctober 30, 2019
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1326682618 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 NY · 011505
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.
1200 DRIVING PARK AVE, Newark, NY 14513

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas William Jackson Mspt Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Thomas Jackson Mspt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiation Oncology
7 AMBULANCE DR
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
181 services13 patients

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Acute Care)
1200 DRIVING PARK AVE
NEWARK, NY 14513
Hospitalist
1200 DRIVING PARK AVE
NEWARK, NY 14513
Pediatrics
1200 DRIVING PARK AVE
NEWARK, NY 14513
Physician Assistant
1200 DRIVING PARK AVE
NEWARK, NY 14513
Clinical Medical Laboratory
1200 DRIVING PARK AVE
NEWARK, NY 14513
Nurse Practitioner (Adult Health)
1200 DRIVING PARK AVE
NEWARK, NY 14513
Nurse Practitioner
1200 DRIVING PARK AVE
NEWARK, NY 14513
Physician Assistant (Medical)
1200 DRIVING PARK AVE
NEWARK, NY 14513

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 Thomas Jackson Mspt's NPI number?

The NPI number for Thomas Jackson Mspt is 1326682618. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Where is Thomas Jackson Mspt located?

Thomas Jackson Mspt practices at 1200 Driving Park Ave, Newark, NY 14513. The listed phone number is (315) 332-2289.

What is Thomas Jackson Mspt's specialty?

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

Is Thomas Jackson Mspt enrolled in Medicare?

Yes. Thomas Jackson Mspt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Jackson Mspt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Jackson Mspt reassigns Medicare benefits to Western New York Medical Practice PC (Clifton Springs, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Jackson Mspt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Jackson Mspt was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.