Jordan Hudson
Individual provider Active NPI Physical Therapist · Folsom, PA
NPI 1386931350 · NPPES record last updated Jun 29, 2011
Key facts
- NPI
- 1386931350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT021408 (PA)
- Practice address
- 501 Macdade Blvd
Folsom, PA 19033-3203 - Phone
- (610) 586-7000
- NPI assigned
- Jun 29, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021408 | PA | Yes |
Addresses
Primary practice location
501 Macdade Blvd
Folsom, PA 19033-3203
Mailing address
501 Macdade Blvd
Folsom, PA 19033-3203
Other providers in Folsom, PA
- Claire Graser
- Valentine Guzman
- Chantel Hatton
- Health Access Network
- Alexandria Elizabeth Hepburn-Rueda
- Jean Dora Care Consultants, LLC
- Adrienne Noelle Johnson
- Lauren Karwoski
- Keystone Service Systems Inc.
- Kite and Key Dentistry PLLC
All providers in Folsom, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.