COREY JACKSON (NPI# 1154735611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154735611 |
| Entity Type | Individual |
| Full Name | COREY JACKSON |
| Other Name | MR. COREY JACKSON |
| Credential | D.P.T. |
| Practice Address |
1551 N Rock Rd Wichita KS 67206-1255 |
| Mailing Address |
512 N Birch Ave Valley Center KS 67147-2551 |
| Practice Telephone | 3168581885 |
| Practice Fax Number | 3168581892 |
| Mailing Telephone | 3168581885 |
| Mailing Fax Number | 3168581892 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11-04877 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972873321 | Corey N Jackson | Contractor | 130 Mankin Pl, La Vergne, TN 37086-3048 | 2012-01-03 |
| 1659419075 | Corey Lamont Jackson Sr. | Chiropractor | 1518 S Poplar St, Pine Bluff, AR 71601-6249 | 2007-02-01 |
| 1215395637 | Corey Jackson | Health Educator | 100 Chambers St, Cumberland, RI 02864-7724 | 2016-01-30 |
| 1427432343 | Corey Jerrod Jackson | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2015-07-10 |
| 1558672881 | Corey E Jackson | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2010-07-01 |
| 1669693032 | Corey Alan Jackson | Orthopaedic Surgery | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2007-05-01 |
| 1194866707 | Corey Jai Jackson | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-02-08 |
| Street Address |
1551 N ROCK RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548306350 | Geraldine Maria Miller | Occupational Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2007-01-29 |
| 1033244546 | Jason Bina | Physical Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2007-02-23 |
| 1821123340 | Daniel Runyan | Physical Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1588282982 | Ashley Janae Sevart | Physical Therapist | 2300 N Tyler Rd, Wichita, KS 67205-8766 | 2020-07-12 |
| 1376168294 | Bayli Ann Palmer | Physical Therapist | 10333 E 21st St N Ste 406, Wichita, KS 67206-3547 | 2020-06-16 |
| 1376176107 | Natural Wellness Physiotherapy | Physical Therapist | 11444 E Central Ave, Wichita, KS 67206-2805 | 2020-02-20 |
| 1629618095 | Sahar Eshghi | Physical Therapist | 664 N Stratford Ln, Wichita, KS 67206-1530 | 2020-01-13 |
| 1063071306 | Kyle Waits | Physical Therapist | 2243 S Meridian Ave Ste 109, Wichita, KS 67213-1911 | 2019-06-11 |
| 1851875298 | Kalie Dickman | Physical Therapist | 6505 E 37th St N Ste 300, Wichita, KS 67226-3233 | 2018-09-21 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1649764887 | Matthew Bradford Jenkins | Physical Therapist | 7728 W Central Park St, Wichita, KS 67205-1630 | 2018-06-20 |
| 1801386891 | Adam William Veenis | Physical Therapist | 7340 W 21st St N Ste 100, Wichita, KS 67205-1770 | 2018-05-15 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.