Jordan Wolak, ATC, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12506 Issued in MN

Practice address

3131 S Vaughn Way Ste 125
Aurora, CO 80014-3501

Phone

(303) 755-1116

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Benchmark Physical Therapy of Delaware LLC

  • Physical Therapist
  • Millsboro, DE
  • NPI 1598222390
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1497271431
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Glendale, AZ
  • NPI 1811598402

  Physical Therapist

  NPD

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1336890755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "PENGILLY",
            "state": "MN",
            "postal_code": "557750332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY STE 125",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143501",
            "telephone_number": "303-755-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Hale Lake Pointe",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557449615",
            "country_code": "US",
            "telephone_number": "218-326-0543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852826828",
            "country_code": "US",
            "telephone_number": "602-512-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLAK",
        "first_name": "JORDAN",
        "credential": "ATC, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-10-11",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32107",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max V Wohlauer, MD
• Wohlgemuth & Rush DDS
• Barry Wohlgemuth, DDS
• Jessika Jacobs Wohlgemuth, RN
• Pierre Louis Auguste Wohlgemuth, D.D.S
• Mary C Wolbach, R.N.
• Terrance Michael Wolbaum, D.D.S.
• Catherine Wolcott, PHD
• Michelle Wolcott, MD
• Nahome Wolde

• Physical Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.