Jordan Douglas Rebik, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5657 S Himalaya St Ste 100
Centennial, CO 80015-5308

Phone

(303) 699-6200

NPI assigned

Oct 1, 2025

Sex

Male

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

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.

• Aurora Pediatric Associates, LLP

  • Pediatrics Physician
  • Centennial, CO
  • NPI 1790383883
  NPD
• Aurora Pediatric Associates, LLP

  • Pediatrics Physician
  • Centennial, CO
  • NPI 1760468722
  NPD (past)

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1215801345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S PARKER RD STE 404",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155308",
            "telephone_number": "303-699-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBIK",
        "first_name": "JORDAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Ray
• Heather-Gail Camilla Raymond
• Reach Physical Therapy & Wellness
• Kelly O'Shaughnessy Read
• Realigning Your Health PC
• Recovery Service Providers PC
• Recovery Service Providers PLLC
• Jackie L Reddington, MT
• Hayes A Redmond, OD
• Chari Redwine

• Physician Assistant in Centennial, CO
• Providers in Centennial, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.