Jordan Eberhardy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTL.0019723 Issued in CO

Practice address

13036 King Cir
Broomfield, CO 80020-5230

Phone

(816) 872-4660

NPI assigned

May 1, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Denver Physical Therapy at Home

  • Physical Therapist
  • Aurora, CO
  • NPI 1558863662
  NPD
• Rodrigo D. Rodriguez

  • Multi-Specialty Clinic/Center
  • Aurora, CO
  • NPI 1740648187
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1083461792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13036 KING CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13036 KING CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205230",
            "telephone_number": "816-872-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARDY",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTL.0019723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Dvoskina
• Yelena Dvoskina, MA
• Anna Amelia Dwyer, LPCC
• Kiersten Eaker, LPCC
• Andrew James Eaton, PT, DPT
• Aaron William Eckhoff
• Brittani Edds, IBCLC
• Carolyn Eddy
• Eden International, Inc.
• Hayden Edge, DC

• Physical Medicine & Rehabilitation Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.