Active NPI
Jordan Christopher Spence, PT, DPT
- Physical Therapist
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1345 Center Dr Ste 100
Medford, OR 97501-7945 - Phone
- (541) 210-5674
- NPI assigned
- Nov 10, 2015
- Sex
- Male
- 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 | OR | Primary |
Addresses
Primary practice location
1345 Center Dr Ste 100
Medford, OR 97501-7945
Mailing address
1345 Center Dr Ste 100
Medford, OR 97501-7945
Phone (541) 210-5674
Other practice location 1
730 Biddle Rd
Medford, OR 97504-6116
Phone (541) 535-6239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170630002561 | OR | Practitioner - Physical Therapist in Private Practice | 1759682784 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alevia Physical Therapy LLC
Practice addresses (Care Compare)
1345 Ctr Dr
Unit a
Medford, OR 97501-7945
Phone (541) 210-5674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alevia Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1345 Center Dr
Ste 100
Medford, OR 97501
Phone (541) 210-5674
730 Biddle Rd
Medford, OR 97504
Phone (541) 210-5674
1345 Center Dr
Unit A
Medford, OR 97501
Phone (541) 210-5674
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1417320615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 CENTER DR STE 100",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975017945",
"telephone_number": "541-210-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 CENTER DR STE 100",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975017945",
"telephone_number": "541-210-5674"
}
],
"practiceLocations": [
{
"address_1": "730 Biddle Rd",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975046116",
"country_code": "US",
"telephone_number": "541-535-6239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCE",
"first_name": "JORDAN",
"middle_name": "CHRISTOPHER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-10",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.