MATT JACKSON
NPI 1366990715
Physical Therapist in Edmond, OK

Active since September 14, 2016PECOS Enrolled
1260 W COVELL RD, EDMOND, OK 73003(405) 471-5522(405) 471-5599 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matt Jackson NPPES

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

MATT JACKSON (NPI 1366990715) is an individual physical therapist in Edmond, Oklahoma, licensed in Oklahoma (5157) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366990715
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMATT JACKSON
Location Address1260 W COVELL RDEdmond, OK 73003-3555
Mailing Address440 Merchant DrNorman, OK 73069-6470 · (405) 809-8710 · Fax (405) 573-6768
Fax(405) 471-5599
Sole ProprietorNo
Enumeration DateSeptember 14, 2016
NPI 1366990715 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 OK · 5157
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.
1260 W COVELL RD, Edmond, OK 73003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matt Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73003 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 11

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

Pharmacy (Community/Retail Pharmacy)
1260 W COVELL RD, SUITE 124
EDMOND, OK 73003
Physical Therapist
1260 W COVELL RD
EDMOND, OK 73003
Physical Therapist
1260 W COVELL RD
EDMOND, OK 73003
Physical Therapist
1260 W COVELL RD
EDMOND, OK 73003
Physical Therapist
1260 W COVELL RD
EDMOND, OK 73003
Physical Therapist
1260 W COVELL RD
EDMOND, OK 73003
Pharmacist
1260 W COVELL RD, SUITE 124
EDMOND, OK 73003
Physical Therapist
1260 W COVELL RD
EDMOND, OK 73003

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 Matt Jackson's NPI number?

The NPI number for Matt Jackson is 1366990715. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Matt Jackson located?

Matt Jackson practices at 1260 W Covell Rd, Edmond, OK 73003. The listed phone number is (405) 471-5522.

What is Matt Jackson's specialty?

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

Is Matt Jackson enrolled in Medicare?

Yes. Matt Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matt Jackson was last updated on September 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.