Individual provider Active NPI

Jordan Levi Pratt, DC

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1194580936
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6371 Issued in OR
Practice address
21323 SW Sherwood Blvd
Sherwood, OR 97140-9218
Phone
(503) 984-2203
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6371 OR Primary

Addresses

Primary practice location

21323 SW Sherwood Blvd
Sherwood, OR 97140-9218

Mailing address

21323 SW Sherwood Blvd
Sherwood, OR 97140-9218

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6371ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Levi Pratt LLC Chiropractor Current Accepting new patients

Locations

21323 SW Sherwood Blvd
Sherwood, OR 97140
Phone (503) 625-4111

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.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1194580936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21323 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21323 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409218",
            "telephone_number": "503-984-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JORDAN",
        "middle_name": "LEVI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.