Jordan Wing, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0021545 Issued in CO

Practice address

1390 S Potomac St Ste 114
Aurora, CO 80012-4529

Phone

(303) 745-6717

NPI assigned

Aug 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soul Physical Therapy LLCGroup PAC ID 5991026544, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Soul Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Beverly, MA
  • NPI 1093118002
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1114806015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RATTLE HILL RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739313",
            "telephone_number": "978-524-0333",
            "fax_number": "978-524-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-745-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Reservoir Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155501",
            "country_code": "US",
            "telephone_number": "978-524-0333",
            "fax_number": "978-524-0334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Elm St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019232824",
            "country_code": "US",
            "telephone_number": "978-304-0536",
            "fax_number": "978-304-0642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WING",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0021545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Wine, MD
• Marie E Wineinger, AUD
• Andrea Wineman, PHARMD
• Allison Beth Wines, NP-C
• Candace Elizabeth Winfrey
• Roger Wayne Wingate, CMT
• Caitlin Winget, M.D.
• Lisa J Wingrove, RD
• Wings of Love, LLC
• Julie M. Winkle, MD

• Physical Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.