Active NPI
Jordan Nicole Lindon, DPT, PT
- Physical Therapist
- Edgewood, KY
National Provider Identifier
1083248462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007908
- Practice address
- 520 Garden Way
Edgewood, KY 41017 - Phone
- (859) 835-4373
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL0017143 | CO | |
| Physical Therapist | 225100000X | PT007908 | KY | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT-007908 | KY |
Addresses
Primary practice location
520 Garden Way
Edgewood, KY 41017
Mailing address
520 Garden Way
Edgewood, KY 41017-3387
Phone (859) 835-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Thomas More Pkwy
Crestview Hills, KY 41017-3424
Phone (859) 331-0474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-007908 | KY | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| PTL0017143 | CO | MD | Physical Therapist |
| PT007908 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Life Home Therapy, LLC | Single Specialty | Current | Accepting new patients |
Locations
220 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-0474
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1083248462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 GARDEN WAY",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173387",
"telephone_number": "859-835-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 GARDEN WAY",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-835-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDON",
"first_name": "JORDAN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0017143",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT007908",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "KY",
"license": "PT-007908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.