Individual provider Active NPI

Jenna Elizabeth Jordan, P.T.

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1053646828
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19052 Issued in FL
Practice address
2620 S Tamiami TRL Ste 100
Sarasota, FL 34239-4517
Phone
(904) 962-3161
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19052 FL Primary

Addresses

Primary practice location

2620 S Tamiami TRL Ste 100
Sarasota, FL 34239-4517

Mailing address

2620 S Tamiami TRL Ste 100
Sarasota, FL 34239-4517
Phone (904) 962-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114003122 FL Practitioner - Physical Therapist in Private Practice 2365874286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19052FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Haupt Physical Therapy Inc Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients

Locations

2620 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (904) 962-3161

2620 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 758-3140

2620 S Tamiami Trl
Fl 3
Sarasota, FL 34239

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1053646828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S TAMIAMI TRL STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394517",
            "telephone_number": "904-962-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S TAMIAMI TRL STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394517",
            "telephone_number": "904-962-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.