Corey Jackson, D.P.T.
Physical Therapist · Wichita, KS
Corey Jackson, D.P.T. is a physical therapist with a practice address in Wichita, Kansas, and NPI 1154735611, issued on Jun 12, 2014. Check the license (Kansas 11-04877, as entered in NPPES) with the Kansas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Corey Jackson
- Credential
- D.P.T.
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 11-04877 KS
Self-reported in NPPES; status is on the state search - Practice location
- 3460 N Ridge RD Ste 80, Wichita, KS 67205
- Phone
- (316) 202-0340
- Enumerated
- Jun 12, 2014
- Record last updated
- Sep 27, 2023
- Medicare enrollment
- Enrolled (PECOS I20180219002217); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3460 N Ridge RD Ste 80
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shelby Davis, DPTPhysical Therapist1326728338
- Jill Malache, DPTPhysical Therapist1508482696
- Janelle PetrisorPhysical Therapist1124675574
- Sydney RooksPhysical Therapist1912825134
- Jerod SharpPhysical Therapist1578859740
- Jordyn Standiford, DPTPhysical Therapist1487223038
Verify Corey Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kansas board licenses this profession
Search for license 11-04877Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Advanced PT LLCWichita, KS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
453 physical therapist records list a practice address in Wichita
They are 453 of the 10,360 NPPES records with a practice address in Wichita, and 2,693 physical therapist records in Kansas.
All 453 in Wichita → All 2,693 in Kansas → Every provider in Wichita →
Other physical therapist records in Kansas
- Nicole Abbott, PTTopeka, KS1902398399
- Mark AbeggOlathe, KS1811723216
- Natasha Abu-Ali, PTTopeka, KS1538619168
- Mitchell Ackerman, DPTRussell, KS1275290546
- Kaycee AdairNewton, KS1679084578
- Amy Adams, PTWichita, KS1114064482
- Brian Adams, PT, DPT, SCSOverland Park, KS1912524489
- Lisa Adams, P.T.Prairie Village, KS1518714765
- Lesli Addington, PTNorton, KS1639346505
- Kehinde Aderibigbe, DPTHays, KS1225698228
Common questions
What is Corey Jackson, D.P.T.'s NPI number?
Corey Jackson, D.P.T.'s National Provider Identifier (NPI) is 1154735611, issued on Jun 12, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Corey Jackson, D.P.T. located?
The NPPES record lists a practice address at 3460 N Ridge RD Ste 80, Wichita, KS, 67205. Phone: (316) 202-0340. Providers update this record themselves, so call before visiting.
How can I verify Corey Jackson, D.P.T.'s license?
NPPES lists Kansas license number 11-04877, as entered by the provider. Search the Kansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.