Active NPI
Jordan Jean Estes, PTA
- Physical Therapy Assistant
- Fort Collins, CO
National Provider Identifier
1093417099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0015277
- Practice address
- 2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3422 - Phone
- (970) 226-1117
- Fax
- (970) 226-0251
- NPI assigned
- Mar 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.0015277 | CO | Primary |
Addresses
Primary practice location
2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3422
Mailing address
2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3422
Phone (970) 226-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0015277 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1093417099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 E HARMONY RD STE 110",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283422",
"telephone_number": "970-226-1117",
"fax_number": "970-226-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2244 E HARMONY RD STE 110",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283422",
"telephone_number": "970-226-1117",
"fax_number": "970-226-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "JORDAN",
"middle_name": "JEAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0015277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.