Jordan Sifferle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40239 Issued in FL

Practice address

1024 Highway A1A Ste 142
Satellite Beach, FL 32937-2332

Phone

(321) 773-3325

NPI assigned

Aug 9, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

His Business Not Mine IncGroup PAC ID 1658619853, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• His Business Not Mine, Inc

  • Physical Medicine & Rehabilitation Physician
  • Indialantic, FL
  • NPI 1881162659

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1457034290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY A1A STE 142",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY A1A STE 142",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372332",
            "telephone_number": "321-773-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFFERLE",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leah Shanteau, LISWS, LCSW
• Shekhar Desai MD LLC
• Gabriele Abreu Simas, PHARMD
• Rebekah Simmons, RDMS
• Alexandra Simpson, PHARM. D.
• Daniel Singer, LICENSED OPTICIAN
• Sean Todd Slovik, OTR/L, LMT

• Physical Therapist in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.