Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey E Jackson

Individual provider Physical Therapist · NPI 1558672881

Corey E Jackson is a Physical Therapist in Private Practice in South Daytona, Florida. Qualified in 2010, 16 years ago. Practices with Connections Physical Therapy, Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
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Practice location Address checks out

917 Beville Rd Ste G
South Daytona, FL 32119-1712
Phone: (386) 756-4395
Fax: (866) 426-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 19079 (MA)

Record details

NPI number1558672881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESJuly 1, 2010
Mailing address11 Barn Hill Rd, Bloomfield, CT 06002-1238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Connections Physical Therapy, Inc. — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Daytona