Individual provider Active NPI

Jordan Jarvi

  • Physical Therapy Assistant
  • Negaunee, MI
National Provider Identifier
1114336286
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502004330 Issued in MI
Practice address
600 US Highway 41
Negaunee, MI 49866
Phone
(906) 401-0040
NPI assigned
Aug 4, 2014
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502004330 MI Primary

Addresses

Primary practice location

600 US Highway 41
Negaunee, MI 49866

Mailing address

600 US Highway 41
Negaunee, MI 49866-1017

Other practice location 1

980 N Westwood Dr
Ishpeming, MI 49849-3157
Phone (906) 241-4678

Other names 1

  • Jordan Dalgord 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502004330MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1114336286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 41",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 41",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "49866",
            "telephone_number": "906-401-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 N Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498493157",
            "country_code": "US",
            "telephone_number": "906-241-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVI",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "DALGORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Negaunee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.