Jordan Philip Waugh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20405 Issued in NC

Practice address

2145 Country Club Rd Ste 200
Jacksonville, NC 28546-2404

Phone

(252) 726-1802

Fax

(252) 726-1805

NPI assigned

May 14, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.07 of 100Reported as group

Quality

85.94

Promoting interoperability

100

Improvement activities

40

Cost

77.63

Merit-based Incentive Payment System (MIPS)

Final score

90.19 of 100Reported as group

Quality

84.52

Promoting interoperability

100

Improvement activities

40

Cost

82.79

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Emergeortho PA

  • Orthopaedic Surgery Physician
  • Durham, NC
  • NPI 1376592964

  Physical Therapist

  Medicare reassignment NPD
• Emergeortho PA

  • Durable Medical Equipment & Medical Supplies
  • Eden, NC
  • NPI 1841170222
  NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1295309300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COUNTRY CLUB RD STE 200",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462404",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 N 35th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285573184",
            "country_code": "US",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "JORDAN",
        "middle_name": "PHILIP",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P20405",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warrior Wellness
• Alexis Washington
• Brianna Washington
• Brittany A Wasson
• Danielle N Wasson
• Cynthia Jo Waun, LPC
• Emily Charlotte Gabrielle Waun, NCC, LCMHCA
• We-Rise-Up LLC
• Klarissa J Weaver
• Veronica Weaver, LPC

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.