Jordan McMillan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30227 Issued in AZ

Practice address

9150 W Indian School Rd Ste 105
Phoenix, AZ 85037-2385

Phone

(623) 500-2409

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Tree, PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1306240817

  Pediatrics

  NPD (past)
• Therapy Tree Group PLLC

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1689385973
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1396227021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 E 300 N",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718652",
            "telephone_number": "260-729-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372385",
            "telephone_number": "623-500-2409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20329 N 59th Ave Ste A2",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086854",
            "country_code": "US",
            "telephone_number": "623-500-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "JORDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30227",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "LPT-30227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie McMeekin, DNP, A-GNP-C
• Joshua McMellon, PNP
• Bridget McMenamin, COTA
• Deborah McMenemy
• Ali BV McMichael, M.D.
• Mykah Jai McMillan, OTR
• Zoe Linda McMillen, M.D.
• Andrew Paul McMillin, LPN
• Tammy McMillion, PMHNP-BC
• Chad McMinn, PHARMD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.