Individual provider Active NPI

Erin Jordan, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1295599405
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8296 Issued in SC
Practice address
810 Mallet Hill Rd
Columbia, SC 29223-4406
Phone
(803) 661-8522
Fax
(803) 419-6692
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 8296 SC Primary

Addresses

Primary practice location

810 Mallet Hill Rd
Columbia, SC 29223-4406

Mailing address

810 Mallet Hill Rd
Columbia, SC 29223-4406
Phone (803) 661-8522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002981 SC Practitioner - Physical Therapist in Private Practice 2062851306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Physical Therapy LLCGroup PAC ID 5890839161, 2 clinicians

Practice addresses (Care Compare)

810 Mallet Hill Rd
Suite 2
Columbia, SC 29223-4406
Phone (803) 661-8522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8296SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy, LLC Physical Therapist CurrentSince Feb 4, 2024 Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients

Locations

810 Mallet Hill Rd
Columbia, SC 29223
Phone (803) 419-6646

810 Mallet Hill Rd
Ste 2
Columbia, SC 29223
Phone (803) 661-8522

Organizations & group practices 10

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1295599405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MALLET HILL RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234406",
            "telephone_number": "803-661-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MALLET HILL RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234406",
            "telephone_number": "803-661-8522",
            "fax_number": "803-419-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.