Jordan Washburn

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

544 E 1200 S
Heber City, UT 84032-4497

Phone

(435) 654-5500

NPI assigned

Oct 24, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1154964831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E 770 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324515",
            "telephone_number": "435-817-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 E 1200 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324497",
            "telephone_number": "435-654-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasatch Medicine LLC
• Wasatch Optimal Wellness Clinic LLC
• Wasatch Physical Therapy Co
• Wasatch Senior and Family Care LLC
• Wasatch TMS LLC
• Christy Anne Watt, RDN
• Amy Michelle Watts, ACMHC
• Dawn Heather Watts, LCSW
• Helen G. Webb, CNM
• Steven Wesley Webster, PA-C

• Physical Therapist in Heber City, UT
• Providers in Heber City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.