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

Matt Jackson

Individual provider Physical Therapist · NPI 1366990715

Matt Jackson is a Physical Therapist in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016

Practice location Address checks out

1260 W Covell Rd
Edmond, OK 73003-3555
Phone: (405) 471-5522
Fax: (405) 471-5599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5157 (OK)

Record details

NPI number1366990715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016

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