Individual provider Active NPI

Jordan Waffird, DPT, PT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1437769197
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP058015T Issued in TX
Practice address
5833 W I 20
Arlington, TX 76017-1057
Phone
(817) 561-1115
Fax
(817) 516-1104
NPI assigned
Aug 6, 2020
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP058015T TX Primary
Physical Therapist 225100000X 13031 TN
Physical Therapist 225100000X CP037343T GA

Addresses

Primary practice location

5833 W I 20
Arlington, TX 76017-1057

Mailing address

1300 W Sam Houston Pkwy S Ste 300
Houston, TX 77042-2453
Phone (713) 344-1477

Other identifiers 1

IdentifierTypeStateIssuer
Q029723MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401002253 GA Practitioner - Physical Therapist in Private Practice 8921480773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13031TNMDGeneral Practice Dentistry
CP037343TGAMDPhysical Therapist
CP058015TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jan 12, 2025 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jan 12, 2025 Accepting new patients
Star Physical Therapy LP Physical Therapist PastSince Aug 9, 2020 Accepting new patients
Star Physical Therapy LP PastSince Aug 9, 2020 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

60 11th St NE
Ste 4
Atlanta, GA 30309
Phone (224) 432-5276

665 Scranton Rd
Ste 3
Brunswick, GA 31520
Phone (912) 280-9205

620 J L White Dr
Ste 110
Jasper, GA 30143
Phone (706) 692-9080

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

100 Three Rivers Dr NE
Ste C
Rome, GA 30161
Phone (706) 295-0081

224 Shorter Ave NW
Rome, GA 30165
Phone (706) 235-2727

901 N Broad St NE
Ste 200
Rome, GA 30161

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1437769197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422453",
            "telephone_number": "713-344-1477",
            "fax_number": "713-430-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 W I 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171057",
            "telephone_number": "817-561-1115",
            "fax_number": "817-516-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFFIRD",
        "first_name": "JORDAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP058015T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP037343T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.