COREY JACKSON (D.P.T.) – Physical Therapist, NPI 1154735611
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS
Provider Addresses for COREY JACKSON (D.P.T.)
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 402235005
Phone: (316) 263-0003
Type: Mailing
3460 N RIDGE RD STE 80
WICHITA, KS 672051223
Phone: (316) 202-0340
Type: Location
1551 N Rock Rd
Wichita, KS 672061255
Phone: (316) 858-1885
Fax: (316) 858-1892
Type: Location
512 N BIRCH AVE
VALLEY CENTER, KS 671472551
Phone: (316) 858-1885
Fax: (316) 858-1892
Type: Mailing
1551 N ROCK RD
WICHITA, KS 672061255
Phone: (316) 858-1885
Fax: (316) 858-1892
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180219002217 | I | Physical Therapist In Private Practice | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 487 | 52 | $0 |
| 97530 | Therapy procedure using functional activities | 239 | 39 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 238 | 15 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 229 | 40 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 161 | 27 | $0 |
Insurance plans in this area (ZIP 40223)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| Physical Therapist In Private Practice | KS | |
| - | KS | |
| Physical Therapist In Private Practice | KS | |
| - | KS | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | KS |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.