Donald Kirk Reordan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02649 Issued in OR

Practice address

635 N. 5TH St
Jacksonville, OR 97530

Phone

(541) 899-8179

Fax

(541) 899-0244

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reordan Physcial Therapy, IncGroup PAC ID 1456435346, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reordan Physcial Therapy, Inc

  • Physical Therapy Clinic/Center
  • Jacksonville, OR
  • NPI 1972635597
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1194717165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N. 5TH ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "97530",
            "telephone_number": "541-899-8179",
            "fax_number": "541-899-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N. 5TH ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "97530",
            "telephone_number": "541-899-8179",
            "fax_number": "541-899-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REORDAN",
        "first_name": "DONALD",
        "middle_name": "KIRK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "02649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158389",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Pullen, GCFP, LMT
• David Reamer
• Relatyv Mobile Medical LLC
• Reordan Physcial Therapy, Inc
• Bret Kirk Reordan, D.P.T.
• Lynn Ellen Reordan, P.T.
• Kimberly Michelle Roberts, PSYD, LPC, CCM
• Ronmax ENT Inc
• RSL Pioneer, LLC
• Ruch Dental

• Physical Therapist in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.