Individual provider Active NPI

Jordan Prihoda, D.P.T.

  • Physical Therapist
  • Cedar Falls, IA
National Provider Identifier
1275957219
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005336 Issued in IA
Practice address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone
(319) 277-3166
Fax
(319) 266-4846
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005336 IA Primary

Addresses

Primary practice location

211 W 6TH St
Cedar Falls, IA 50613-2859

Mailing address

211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302001265 FL Practitioner - Physical Therapist in Private Practice 3678068376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetix Physical Therapy P aGroup PAC ID 5092810739, 10 clinicians

Practice addresses (Care Compare)

13559 NW 1St LN
Newberry, FL 32669-3473
Phone (352) 505-6665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005336IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetix Physical Therapy P a Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients

Locations

13559 NW 1st Ln
Newberry, FL 32669
Phone (352) 505-6665

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1275957219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIHODA",
        "first_name": "JORDAN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.