Jordan Noland, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019003960 Issued in MO

Practice address

284 Merchant St
Sainte Genevieve, MO 63670-1610

Phone

(573) 883-8181

NPI assigned

Feb 6, 2019

Last updated

Dec 19, 2023By 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

• Jordan Green Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A B Chiropractic Family and Wellness, LLCGroup PAC ID 4587713847, 2 clinicians

Smart Rehab, LLCGroup PAC ID 1759668643, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Smart Rehab, LLC

  • Physical Therapist
  • Kirkwood, MO
  • NPI 1144760471
  Medicare reassignment Care Compare group NPD
• A B Chiropractic Family & Wellness, LLC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1902938327
  Care Compare group

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1407311228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MERCHANT ST",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701610",
            "telephone_number": "573-883-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MERCHANT ST",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701610",
            "telephone_number": "573-883-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAND",
        "first_name": "JORDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "GREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William F. Mitchell Jr., R.PH.
• Terri Kay Monahan, D.C.
• Jill Suzanne Naeger, M.A., CCC-SLP
• Melissa Ann Naeger
• Solomon Noguera, M.D.
• Susan O'Donnell, MD
• William J Odneal
• Olive Branch Pediatric Specialties LLC
• Osman LLC (countryhaven 2)
• Osman LLC (country haven asissted living)

• Physical Therapist in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.

Verify at the official NPI Registry.