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

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