Active NPI
Jordan Valerie Keen, MSPT
- Physical Therapist
- Inverness, FL
National Provider Identifier
1154374924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27862
- Practice address
- 130 Heights Ave
Inverness, FL 34452-4571 - Phone
- (352) 419-6570
- Fax
- (888) 639-2521
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27862 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 2305204190 | VA |
Addresses
Primary practice location
130 Heights Ave
Inverness, FL 34452-4571
Mailing address
130 Heights Ave
Inverness, FL 34452-4571
Phone (352) 419-6570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010206456 | Medicaid | VA | |
| P00466835 | Other | VA | RR MEDICARE |
Other names 1
- Miss Valerie Jordan Hill
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204190 | VA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuckahoe Orthopaedic Associates, LTD | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Richmond, VA
- NPI 1578578324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1154374924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HEIGHTS AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524571",
"telephone_number": "352-419-6570",
"fax_number": "888-639-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HEIGHTS AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524571",
"telephone_number": "352-419-6570",
"fax_number": "888-639-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "JORDAN",
"middle_name": "VALERIE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27862",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305204190",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010206456",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00466835",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "HILL",
"middle_name": "JORDAN",
"prefix": "MISS",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.