Jordan Waugh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-6376 Issued in ID

Practice address

940 W Humboldt St Apt 19
Battle Mountain, NV 89820

Phone

(775) 374-1659

NPI assigned

Jul 31, 2018

Last updated

Apr 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jordan.waugh.1@18353.direct.athenahealth.com

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1235617358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "775-374-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W HUMBOLDT ST APT 19",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "89820",
            "telephone_number": "775-374-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6376",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Nevada (Battle Mountain Mental Health Center)
• State of Nevada (Battle Mountain Mental Health)
• William Todd Thompson, DMD
• Vision Consultants
• Myra Kay Wall
• Kimberly Dawn Whitehead
• Robin Willcourt, MD

• Physical Therapist in Battle Mountain, NV
• Providers in Battle Mountain, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.