Individual provider Active NPI

Jordan N Davis, PT, DPT

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1104234483
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3363 Issued in NE
Practice address
20117 Franklin Cir Ste 100
Elkhorn, NE 68022-6578
Phone
(402) 431-2026
Fax
(531) 201-0301
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 3363 NE Primary

Addresses

Primary practice location

20117 Franklin Cir Ste 100
Elkhorn, NE 68022-6578

Mailing address

7327 N 166TH St
Bennington, NE 68007-2833
Phone (402) 431-2026

Other names 1

  • Jordan N Davis Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3363NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Activated Physical Therapy, LLC CurrentSince Dec 7, 2025 Accepting new patients
Motion Activated Physical Therapy CurrentSince Dec 7, 2025 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

Locations

20117 Franklin Cir
Ste 100
Elkhorn, NE 68022
Phone (402) 431-2026

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1104234483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 N 166TH ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680072833",
            "telephone_number": "402-431-2026",
            "fax_number": "531-201-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20117 FRANKLIN CIR STE 100",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226578",
            "telephone_number": "402-431-2026",
            "fax_number": "531-201-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JORDAN",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "DAVIS",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.