Active NPI
Jordan B Manning, DPT
- Physical Therapist
- Forest, MS
National Provider Identifier
1366337446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 237 N Woodland Dr
Forest, MS 39074-3307 - Phone
- (601) 564-8750
- Fax
- (601) 564-8747
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
237 N Woodland Dr
Forest, MS 39074-3307
Mailing address
164 Plantation Blvd
Brandon, MS 39047-7128
Phone (601) 826-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
237 N Woodland Dr
Forest, MS 39074-3307
Phone (601) 564-8750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
237 N Woodland Dr
Forest, MS 39074
Phone (601) 564-8750
921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002
1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002
Organizations & group practices 1
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.
-
- Physical Therapist
- Philadelphia, MS
- NPI 1851427132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1366337446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 PLANTATION BLVD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477128",
"telephone_number": "601-826-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 N WOODLAND DR",
"city": "FOREST",
"state": "MS",
"postal_code": "390743307",
"telephone_number": "601-564-8750",
"fax_number": "601-564-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JORDAN",
"middle_name": "B",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.