Jordana B Faine-Siadman, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19480 Issued in FL

Practice address

3601 NE 25TH Ave
Fort Lauderdale, FL 33308-6301

Phone

(954) 568-0682

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fitness Made Fun Inc

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1710109061

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1245380252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NE 25 AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-568-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NE 25TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086301",
            "telephone_number": "954-568-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAINE-SIADMAN",
        "first_name": "JORDANA",
        "middle_name": "B",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886456000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana A Fahey, DMD
• Trudi Fahey, M.D.
• Dale E Fahie, D.O.F.A.C.O.F.P.
• Douglas E Faig, M.D.
• Thomas Faillace
• Jessica S Fair
• Arlester Fairchild Jr.
• Fredericka Ejaad Fairchild, MA
• Marie Fairchild
• Farooq Ali Faisal, MD

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.