COREY E JACKSON (NPI# 1558672881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558672881 |
| Entity Type | Individual |
| Full Name | COREY E JACKSON |
| Practice Address |
917 Beville Rd Suite G South Daytona FL 32119-1712 |
| Mailing Address |
11 Barn Hill Rd Bloomfield CT 06002-1238 |
| Practice Telephone | 3867564395 |
| Practice Fax Number | 8664262811 |
| Mailing Telephone | 3867564395 |
| Mailing Fax Number | 8664262811 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 19079 | MA | 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 |
| 1154735611 | Corey Jackson | Physical Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2014-06-12 |
| 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 |
917 BEVILLE RD SUITE G |
| City | SOUTH DAYTONA |
| State | FL |
| Zip Code | 32119-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902083231 | Teresa Uhlenhake | Physical Therapy Assistant | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2008-01-29 |
| 1376886812 | Loads of Smiles, LLC | Clinic/Center | 917 Beville Rd, Ste. G & H, South Daytona, FL 32119-1712 | 2013-04-03 |
| 1629360292 | Leila Shlosser | Physical Therapist | 917 Beville Rd, Ste G, South Daytona, FL 32119-1712 | 2011-05-13 |
| 1356632020 | Reina Nelson | Speech-Language Pathologist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-04-28 |
| 1760773998 | Melynda Eastman | Occupational Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-04-21 |
| 1306136072 | William Redmond | Physical Therapy Assistant | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-04-14 |
| 1225328347 | Mary Rudd | Speech-Language Pathologist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-04-11 |
| 1114216942 | Kimberly Francis | Occupational Therapist | 917 Beville Rd, Ste G, South Daytona, FL 32119-1712 | 2011-04-01 |
| 1679862536 | Abbie Mcdonald | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-03-31 |
| 1164721288 | Lorna Gene Biddle | Occupational Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| 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 |
|---|---|---|---|---|
| 1346636651 | Kurt Barnes | Physical Therapist | 401 Venture Dr Ste B, South Daytona, FL 32119-3475 | 2015-04-13 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1063990570 | Matthew James Biegler Jr. | Physical Therapist | 401 Venture Dr Ste C, South Daytona, FL 32119-3475 | 2018-08-06 |
| 1356880835 | Katie Wimberly | Physical Therapist | 401 Venture Dr, Suite C, South Daytona, FL 32119-3478 | 2017-02-17 |
| 1316372063 | Mitchell Ryan Walker | Physical Therapist | 401 Venture Dr, Suite C, South Daytona, FL 32119-3478 | 2013-09-12 |
| 1629360292 | Leila Shlosser | Physical Therapist | 917 Beville Rd, Ste G, South Daytona, FL 32119-1712 | 2011-05-13 |
| 1679862536 | Abbie Mcdonald | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-03-31 |
| 1215235262 | Jeff Bogner | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-02-28 |
| 1508163312 | Brittney Kerchief | Physical Therapist | 917 Beville Rd, South Daytona, FL 32119-1712 | 2011-02-15 |
| 1427354869 | Laura Bondy | Physical Therapist | 917 Beville Rd, Ste G, South Daytona, FL 32119-1712 | 2011-02-02 |
| Find all providers in SOUTH DAYTONA | ||||
| City | SOUTH DAYTONA |
| Zip Code | 32119 |
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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.