Jourdan Paige Bushman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209439 Issued in VA

Practice address

65 Shenandoah Ave Ste 203
Daleville, VA 24083-3205

Phone

(540) 381-9100

NPI assigned

Nov 19, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Daleville, VA
  • NPI 1104330190
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1174280598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607009",
            "telephone_number": "540-381-9100",
            "fax_number": "540-381-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SHENANDOAH AVE STE 203",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833205",
            "telephone_number": "540-381-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "JOURDAN",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Botetourt Health Care, LLC (Carrington Place @ Botetourt Commons)
• Botetourt Physical Therapy LLC
• Botetourt SNF Operations LLC (Daleville Health & Rehabilitation)
• Connie Brooks, NP-C
• Jeffry Adam Burke, DMD
• Calming Waters Counseling LLC
• Anja Campbell, FNP
• Morgan Kay Champagne, D.C.
• Morgan Rea Chandler, OTR/L
• Jacob Chernichky, DC

• Physical Therapist in Daleville, VA
• Providers in Daleville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.