Jordan Andrews

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

200 Lindow LN Ste E
Marengo, IL 60152-9498

Phone

(815) 586-8878

Fax

(815) 568-9977

NPI assigned

Feb 21, 2024

Last updated

Feb 21, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Marengo Physical Therapy, Inc.

  dba CORA Physical Therapy - Fox Lake

  • Rehabilitation Clinic/Center
  • Fox Lake, IL
  • NPI 1609444165
  NPD (past)
• Marengo Physical Therapy, Inc.

  dba CORA Physical Therapy - Marengo

  • Rehabilitation Clinic/Center
  • Marengo, IL
  • NPI 1881792737

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1457117129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8576 COUNTRY PL",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610088197",
            "telephone_number": "779-774-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINDOW LN STE E",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601529498",
            "telephone_number": "815-586-8878",
            "fax_number": "815-568-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accelerated Rehabilitation Center of Kenosha LTD
• Accelerated Rehabilitation Centers of Kenosha LTD (Athletico Physical Therapy)
• Tanveer Ahmad, MD
• Katie E. Allen-Wacker, PTA
• Bankord Chiropractic, PLLC
• Jace Bankord, DC
• Luke Bankord, BA, DC
• Matthew W Bankord, DC
• Marie Barnhart, M.ED., LCPC, NCC

• Physical Therapist in Marengo, IL
• Providers in Marengo, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.