IndividualActive
Cordele Jackson, DPT, PT
NPI 1316808058 · Physical Therapist · Middletown, DE
Provider details
- NPI number
- 1316808058
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, PT
- Sex
- Male
- Sole proprietor
- No
- License
- J1-0015165 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670
Phone: (302) 449-2048
Fax: (302) 449-2047
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Industrial Dr Ste 210
Middletown, DE 19709-2803
Additional practice locations (1)
- 3911 N Washington StWilmington, DE 19802-2147Phone: (302) 764-8192
Registry dates
- Enumerated
- 2025-11-21
- Last updated
- 2026-03-07
- Certified
- 2026-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.