Active NPI
Joshua Jordan, DPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1023793502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT031528
- Practice address
- 2010 Levick St
Philadelphia, PA 19149-2928 - Phone
- (215) 537-4755
- NPI assigned
- Jun 21, 2023
- Last updated
- Jan 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02232600 | NJ | |
| Physical Therapist | 225100000X | PT031528 | PA | Primary |
Addresses
Primary practice location
2010 Levick St
Philadelphia, PA 19149-2928
Mailing address
753 Mission Rd
Trenton, NJ 08620-9651
Phone (610) 657-0254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02232600 | NJ | MD | Physical Therapist |
| PT031528 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
6030 West Oaks Blvd
Ste 210
Rocklin, CA 95765
Phone (281) 801-8561
300 Welsh Rd
Bldg 1
Horsham, PA 19044
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Horsham, PA
- NPI 1528689445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1023793502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 MISSION RD",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086209651",
"telephone_number": "610-657-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 LEVICK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492928",
"telephone_number": "215-537-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JOSHUA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02232600",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT031528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.