Kathleen Barron Jordan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011443 Issued in GA

Practice address

1100 Sherwood Park Dr NE
Ste 140
Gainesville, GA 30501-3424

Phone

(770) 297-7750

Fax

(770) 297-1026

NPI assigned

Jun 7, 2014

Last updated

Jan 12, 2016By 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

Other names 1

• Kathleen Allison Barron Former name

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": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1356754303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-954-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERWOOD PARK DR NE",
            "address_2": "STE 140",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013424",
            "telephone_number": "770-297-7750",
            "fax_number": "770-297-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KATHLEEN",
        "middle_name": "BARRON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BARRON",
            "middle_name": "ALLISON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Bird Jones, M.D.
• William Terry Jones, M.D.
• Ben Jordan, PT, DPT, CSCS
• Gary Alan Jordan, MD
• Guy W Jordan
• Todd Jordan, MD
• Katherine Jorgensen, PT, DPT
• Mary Kristin Jorgensen, DDS
• Joseph L Jackson DMD
• Jay Hillel Joseph, MD

• Physical Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.