Boyd Kenneth Jordan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006044 Issued in WA

Practice address

108 N Township St
Suite F
Sedro Woolley, WA 98284-1232

Phone

(360) 854-9924

Fax

(360) 854-9743

NPI assigned

Jan 12, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pioneer Physical Therapy, PLLC

  • Physical Therapist
  • Sedro Woolley, WA
  • NPI 1740584762
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164401667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N TOWNSHIP ST",
            "address_2": "SUITE F",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841232",
            "telephone_number": "360-854-9924",
            "fax_number": "360-854-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N TOWNSHIP ST",
            "address_2": "SUITE F",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841232",
            "telephone_number": "360-854-9924",
            "fax_number": "360-854-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BOYD",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112295",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Johnson, D.D.S.
• Courtney Johnson
• Sally A Johnson, RN
• Sarah Johnson
• Brian Eugene Johnston
• Shelby Jean Joseph, LPC, LMHC
• Jennifer Lynn Joslyn, LPN
• Melissa Beth Judy, LMP
• Justin H Yeates DDS PLLC (Yeates Family Dental)
• Pamela Marie Kahn, BS

• Physical Therapist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.