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

Dr. Thomas R Jackson, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1790765667

Dr. Thomas R Jackson, MD is a Physical Medicine and Rehabilitation in Schenectady, New York. Graduated from Temple University School of Medicine in 2002, 24 years ago. Practices with Orthopedicsny, LLP, a 115-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina, New York, Pennsylvania and Rhode Island.

Years since qualifying
24
Trained at
Temple University School of Medicine
Licensed in
NC, NY, PA, RI
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 State St
Schenectady, NY 12305-2414
Phone: (518) 489-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Blythe Blvd, Charlotte, NC 28203-5814 — (704) 512-4808

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 246110 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MT179687 (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD13171 (RI)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2011-00970 (NC)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence MD13171 (RI)

Record details

NPI number1790765667
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address121 Everett Rd, Albany, NY 12205-1474

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Orthopedicsny, Llp — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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