Individual provider Active NPI

Jordan Ciarochi

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1093066805
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1222680 Issued in TX
Practice address
1702 Owen Dr
Fayetteville, NC 28304-3419
Phone
(910) 323-3184
NPI assigned
Sep 20, 2012
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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 1222680 TX Primary

Addresses

Primary practice location

1702 Owen Dr
Fayetteville, NC 28304-3419

Mailing address

1500 Grand Central Ave
Ste 101
Vienna, WV 26105-1079
Phone (304) 693-2781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141109000010 WV Practitioner - Physical Therapist in Private Practice 0244452134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1222680TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients
First Settlement Physical Therapy CurrentSince Oct 1, 2014 Accepting new patients

Locations

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 3

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1093066805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "STE 101",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-693-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043419",
            "telephone_number": "910-323-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAROCHI",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1222680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.