Thomas William Jackson Mspt, PT
Physical Therapist · Newark, NY
Thomas William Jackson Mspt, PT is a physical therapist with a practice address in Newark, New York, and NPI 1326682618, issued on Oct 30, 2019. Check the license (New York 011505, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Thomas William Jackson Mspt
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 011505 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1200 Driving Park Ave, Newark, NY 14513
- Phone
- (315) 332-2289
- Enumerated
- Oct 30, 2019
- Record last updated
- Dec 7, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20211211000139); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 21,756 in New York → Look up another NPI →
Also registered at 1200 Driving Park Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kassaundra Amann, MDEmergency Medicine Physician1205578192
- Shaynon Austin, NPAdult Health Nurse Practitioner1255094264
- Juliana Bedosky, PA-CPhysician Assistant1700454923
- Caryl Bjorseth, M.D.Pediatrics Physician1306857297
- Wade Brandt, CNPFamily Nurse Practitioner1629070297
- Lynn Brazee, FNPFamily Nurse Practitioner1720004328
Verify Thomas William Jackson Mspt in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 011505Check 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
- Western New York Medical Practice PCGeneva, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas William Jackson Mspt among 21,756 physical therapist records in New York
Thomas William Jackson Mspt, PT is one of 21,756 physical therapist records with a practice address in New York. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 64% of them.
- NPI issued2019 · 64% of these records are older, 30% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated1997 · median 2016 among the 7,302 with a school on file
- Record last updated2021 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
35 physical therapist records list a practice address in Newark
They are 35 of the 444 NPPES records with a practice address in Newark, and 21,756 physical therapist records in New York.
All 21,756 in New York → Every provider in Newark → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Mary Elaine Carbonell, P.T.Newark, NY 145131104150341
- Mary D'Amico, PTNewark, NY 145131720328602
- Donna Golden, PTNewark, NY 145131568593424
- Anne Gould, PTNewark, NY 145131730416157
- James Leff, P.T.Newark, NY 145131700042926
- Lindsey Morris, PT DPTNewark, NY 145131023431103
- James Olmstead, P.T.Newark, NY 145131356448468
- Lisa Scott, PTNewark, NY 145131669509303
Common questions
What is Thomas William Jackson Mspt, PT's NPI number?
Thomas William Jackson Mspt, PT's National Provider Identifier (NPI) is 1326682618, issued on Oct 30, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Thomas William Jackson Mspt, PT located?
The NPPES record lists a practice address at 1200 Driving Park Ave, Newark, NY, 14513. Phone: (315) 332-2289. Providers update this record themselves, so call before visiting.
How can I verify Thomas William Jackson Mspt, PT's license?
NPPES lists New York license number 011505, as entered by the provider. Search the New York 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.