Jordan Levine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43458 Issued in CA

Practice address

15373 Innovation Dr Ste 175
San Diego, CA 92128-3427

Phone

(818) 929-4869

NPI assigned

Oct 25, 2016

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)

Enrolled

State licenses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1295287340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 MEADE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 175",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283427",
            "telephone_number": "818-929-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M. Levine, MD
• Fred Levine, M.D., PH.D.
• Hannamei Levine
• Holly Marie Levine, PA
• Ira D. Levine I, M.D.
• Leah Carrie Levine, LCSW
• Maren Leah Levine, LMSW
• Michael Nathan Levine, M.D. PH.D.
• Neil Levine, M.D.
• Oscar Paul Levine

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.