Corey Jackson, D.P.T.
NPI 1154735611 · Physical Therapist · Wichita, KS
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corey Jackson, D.P.T. is a Physical Therapist provider in Wichita, KS (NPI 1154735611).
Provider details
- NPI number
- 1154735611
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- D.P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 11-04877 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
5,007 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 981 | $19 |
| Therapy Procedure Using Water Pool to Exercises, Each 15 Minutes97113 | 964 | $25 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 800 | $21 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 715 | $8 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 705 | $26 |
| Therapy Procedure Using Functional Activities97530 | 701 |
Practice location
Mailing address
Additional practice locations (1)
- 1551 N Rock RdWichita, KS 67206-1255Phone: (316) 858-1885Fax: (316) 858-1892
Registry dates
- Enumerated
- 2014-06-12
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Frequently asked questions
- What is Corey Jackson's NPI number?
- Corey Jackson's National Provider Identifier (NPI) is 1154735611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corey Jackson's specialty?
- Corey Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Corey Jackson located?
- Corey Jackson's practice location on file with NPPES is 3460 N Ridge Rd Ste 80, Wichita, KS 67205-1223.
- What is Corey Jackson's phone number?
- The practice phone number listed in the NPPES registry for Corey Jackson is (316) 202-0340.
- Does Corey Jackson accept Medicare?
- Corey Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Corey Jackson's NPI active?
- Yes — Corey Jackson's NPI (1154735611) is active in the NPPES registry as of the last update on 2023-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.