Jordan Jacobsen, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1546 Issued in SD

Practice address

2218 Derdall Dr
Brookings, SD 57006-2851

Phone

(605) 203-1115

NPI assigned

Aug 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hungerford Chiropractic PCGroup PAC ID 6103992011, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hungerford Chiropractic PC

  • Chiropractor
  • Brookings, SD
  • NPI 1356510812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1063898971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "address_2": "HUNGERFORD CHIROPRACTIC & PHYSICAL THERAPY",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-697-5145",
            "fax_number": "605-697-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-203-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "JORDAN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc
• Lori Ischen, MA CCC-SLP
• Miranda Ivers, MOT, OTR/L
• Erin Jacobs
• Janae Louise Jacobsen, RN, MS, CNP
• Jason Jahn, O.D.
• Brianna Reeder Jakubiak, LPC
• Molly Janssen
• Jason Jahn OD PC
• Elizabeth Claire Jewett, DPT, PT

• Physical Therapist in Brookings, SD
• Providers in Brookings, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.