Jordan Hanner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302435 Issued in MI

Practice address

3837 W US Highway 10
Ludington, MI 49431-9601

Phone

(231) 674-5815

Fax

(231) 683-4705

NPI assigned

Sep 26, 2023

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1205615689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 W US HIGHWAY 10",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494319601",
            "telephone_number": "231-674-5815",
            "fax_number": "231-683-4705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Plymouth Physical Therapy Specialists Limited Partnersh",
            "address_2": "4844 N Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland Township",
            "state": "MI",
            "postal_code": "483061415",
            "country_code": "US",
            "telephone_number": "248-726-7015",
            "fax_number": "248-481-8915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNER",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Hagen, PA-C
• Taylor David Haglund
• Zachary Peter Hamersma, MD
• Lisa Hammond-Koskey, RN
• Anne Marie Hancock
• Kaylin Happley, M.A., CCC-SLP
• Harbor Front Family Chiropractors
• Harbor Front Family Chiropractors LLC
• Bethany Anne Hartrum, NURSE PRACTITIONER
• Eric R. Harvey, PH.D.

• Physical Therapist in Ludington, MI
• Providers in Ludington, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.