Individual provider Active NPI

Jordan Naidrich, DPT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1467288522
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41955 Issued in FL
Practice address
101 N Clematis St Ste 110
West Palm Beach, FL 33401-5553
Phone
(561) 365-3000
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41955 FL Primary

Addresses

Primary practice location

101 N Clematis St Ste 110
West Palm Beach, FL 33401-5553

Mailing address

19980 Sawgrass LN Apt 5104
Boca Raton, FL 33434-3316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001438 FL Practitioner - Physical Therapist in Private Practice 3375076003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

101 N Clematis St
110 NYU Langone Medical Associates We
West Palm Beach, FL 33401-5553
Phone (561) 365-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 30, 2024 Accepting new patients
New York University CurrentSince Sep 30, 2024 Accepting new patients

Locations

16244 S Military Trl
Ste 560
Delray Beach, FL 33484
Phone (561) 495-7787

101 N Clematis St
Ste 110
West Palm Beach, FL 33401
Phone (561) 365-3000

1601 Forum Pl
Ste 101
West Palm Beach, FL 33401
Phone (561) 455-1355

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

Organizations & group practices 2

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1467288522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19980 SAWGRASS LN APT 5104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N CLEMATIS ST STE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015553",
            "telephone_number": "561-365-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDRICH",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.