Corey Jackson
NPI 1558672881 · Physical Therapist · South Daytona, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corey Jackson is a Physical Therapist provider in South Daytona, FL (NPI 1558672881).
Provider details
- NPI number
- 1558672881
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 19079 (MA)
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 tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-01
- Last updated
- 2010-07-01
Frequently asked questions
- What is Corey Jackson's NPI number?
- Corey Jackson's National Provider Identifier (NPI) is 1558672881, 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 917 Beville Rd, South Daytona, FL 32119-1712.
- What is Corey Jackson's phone number?
- The practice phone number listed in the NPPES registry for Corey Jackson is (386) 756-4395.
- 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 (1558672881) is active in the NPPES registry as of the last update on 2010-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.