Kim Keeys Jordan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2632 Issued in NM

Practice address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954

Phone

(505) 743-1213

Fax

(505) 743-1263

NPI assigned

Aug 21, 2007

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

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 and National Provider Directory roles.

• Sierra Vista Hospital

  • Rural Health Clinic/Center
  • Truth Or Consequences, NM
  • NPI 1689638942
  NPD (past)
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1417140633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "505-743-1213",
            "fax_number": "505-743-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "505-743-1213",
            "fax_number": "505-743-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEYS JORDAN",
        "first_name": "KIM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Truth Counseling and Consulting, LLC
• Omar Lorenzo Izquierdo, MD
• Edgar Janetzko, M.D.
• Joann Love MD LLC
• Debbie Kasiah
• Cindy L Khalil, MD
• Magdy Khalil, MD
• Genaro Kirker
• Frances Ann Kwiek, CCSS
• Kiran K Lal, PHD,CCC-SLP

• Physical Therapist in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.