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

Active since October 30, 2019Accepts Medicare Assignment
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: August 30, 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. He is a graduate of Other (1997).

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
Medical School CMSOtherGraduated 1997
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas William Jackson Mspt 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 ID4183014806
PECOS Enrollment IDI20211211000139

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14513 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 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 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 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.