Individual provider Active NPI

Jordan O Stevens, PT, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1114685955
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
108586 Issued in IA
Practice address
1410 SW Tradition Dr Ste 290
Ankeny, IA 50023-9188
Phone
(515) 875-9706
Fax
(515) 875-9707
NPI assigned
Nov 29, 2021
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP029940T SC
Physical Therapist 225100000X 108586 IA Primary
Physical Therapist 225100000X CP021636T VA

Addresses

Primary practice location

1410 SW Tradition Dr Ste 290
Ankeny, IA 50023-9188

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordanstevens@tic.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AZ, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211203001658 IA Practitioner - Physical Therapist in Private Practice 2769872852 Reassigns benefits to 1 organization
I20231017001567 AZ Practitioner - Physical Therapist in Private Practice 2769872852
I20240429000307 SC Practitioner - Physical Therapist in Private Practice 2769872852 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

1410 SW Tradition Dr
Suite 290
Ankeny, IA 50023-9188
Phone (515) 875-9100

Merit-based Incentive Payment System (MIPS)

Final score
57.2 of 100Reported as group
Quality
48.95
Improvement activities
20
Cost
75.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108586IAMDPhysical Therapist
CP029940TSCMDPhysical Therapist
CP021636TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
The Iowa Clinic PC CurrentSince Feb 28, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
The Iowa Clinic, PC CurrentSince Feb 28, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Empower Physical Therapy TX LLC Physical Therapist PastSince Oct 19, 2019 Accepting new patients
DPT Holdings, LLC Physical Therapist PastSince Sep 1, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1410 SW Tradition Dr
Ste 290
Ankeny, IA 50023

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 385
West Des Moines, IA 50266

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

8 Hospital Ctr
Ste 250
Hilton Head Island, SC 29926
Phone (843) 671-7342

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

Interoperability endpoints

  • Direct secure messaging: jordanstevens@tic.allscriptsdirect.net

Organizations & group practices 12

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1114685955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SW TRADITION DR STE 290",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239188",
            "telephone_number": "515-875-9706",
            "fax_number": "515-875-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JORDAN",
        "middle_name": "O",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP029940T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "108586",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP021636T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordanstevens@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5950 University Ave Ste 385",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502668289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.