DR. JORDAN JACKSON DPT
NPI 1649196379
Physical Therapist in Oceanside, NY
About Dr. Jordan Jackson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN JACKSON DPT (NPI 1649196379) is an individual physical therapist in Oceanside, New York and active in the NPI registry since June 2026. She is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jordan Jackson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jordan Jackson's NPI number?
The NPI number for Jordan Jackson is 1649196379. It was assigned to this individual provider in the NPPES registry on June 26, 2026.
Where is Jordan Jackson located?
Jordan Jackson practices at 3135 Long Beach Rd, Oceanside, NY 11572. The listed phone number is (516) 207-0933.
What is Jordan Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jordan Jackson enrolled in Medicare?
Yes. Jordan Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Jackson reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Jordan Jackson'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 Jordan Jackson was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.