Ellen Jordahl

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1310133 Issued in TX

Practice address

204 S Interstate 35 Ste 203
Georgetown, TX 78628-4125

Phone

(512) 863-7761

NPI assigned

Aug 13, 2018

Last updated

Aug 13, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Physical Therapy Specialists, Inc.

  dba Texas Physical Therapy Specialists

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  Medicare reassignment NPD
• Wolfe Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Dripping Springs, TX
  • NPI 1073227336

  Physical Therapist

  Medicare reassignment NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1285113027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S INTERSTATE 35 STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284125",
            "telephone_number": "512-863-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAHL",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1310133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesica Emilce Jones, APRN, MSN, FNP-C
• Jordan D'Nelle Jones, PA-C
• Lauren Heyne Jones, PA-C
• Wendy Downen Jones, D.C.
• William Riley Jones, D.O.
• Jason Scott Jordan, PA-C
• Iman Josey
• Anjenette Juracek, MSN, PMHNP-BC
• Shiri Kaczur, LPC
• Betsy Mary Kadapuram, D.O.

• Physical Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.