Jordan Anne Kondrat, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012512 Issued in MI

Practice address

6405 Telegraph Rd
Ste E3
Bloomfield Hills, MI 48301-1716

Phone

(248) 650-4488

Fax

(248) 650-4488

NPI assigned

Apr 3, 2008

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

Other names 1

• Ms. Jordan Anne Hogan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Exercise Management Systems Corp.

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1376715730
  NPD (past)
• Exercise Management Systems Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1538397153
  NPD (past)

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1114190758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 STONINGTON CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063262",
            "telephone_number": "248-650-4488",
            "fax_number": "248-650-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "STE E3",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-650-4488",
            "fax_number": "248-650-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDRAT",
        "first_name": "JORDAN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "HOGAN",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Elyse Knowles, NP
• Walter Knysz III, M.D.
• Lori Marie Kodan, OTRL
• Mary Kollo
• Tamara Kolton, PH.D.
• Patricia A Kondratenko, D.O.
• Marie Eileen Kopmeyer, M.P.T
• Erin Nicole Koppelman, N.P.
• Zenon Paul Kossak, DDS, MD
• Shirin Koudsi

• Physical Therapist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.