Jennifer Jordan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4453 Issued in MT

Practice address

235 Firehole Ave
West Yellowstone, MT 59758-1573

Phone

(406) 646-7068

Fax

(406) 646-7069

NPI assigned

May 4, 2006

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)

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.

• Parkside Physical Therapy, LLC

  • Physical Therapist
  • West Yellowstone, MT
  • NPI 1407362049
  Authorized official Same address or phone
• Physical Therapy & Industrial Services PC

  dba Physical Therapy & Injury Specialists

  • Specialist
  • Englewood, CO
  • NPI 1649229089
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174571954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1573",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "597581573",
            "telephone_number": "406-646-7068",
            "fax_number": "406-646-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FIREHOLE AVE",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "597581573",
            "telephone_number": "406-646-7068",
            "fax_number": "406-646-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 S Pearl St Unit 200",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133894",
            "country_code": "US",
            "telephone_number": "303-757-1554",
            "fax_number": "303-757-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billings Cinic
• Kyle Goltz, D.C.
• Kalen Marie Gunter, PA-C
• Hebgen Basin Fire District
• Melissa Joecks, LCPC
• Ashlie E Nachtigal, LMT
• Parkside Physical Therapy, LLC
• Rocky Mountain Holdings, LLC (Air Idaho Rescue)
• Silvertip Pharmacy Inc (Silvertip Pharmacy)
• Emma Jane Sparboe, DNP, FNP

• Physical Therapist in West Yellowstone, MT
• Providers in West Yellowstone, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.