Individual provider Active NPI

Jordon Paige Metcalf

  • Physical Therapist
  • Perry, FL
National Provider Identifier
1497527576
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39465 Issued in FL
Practice address
207 Marshall Dr
Perry, FL 32347-1835
Phone
(502) 510-2028
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007844 KY
Physical Therapist 225100000X PT39465 FL Primary

Addresses

Primary practice location

207 Marshall Dr
Perry, FL 32347-1835

Mailing address

7635 New Haven Rd
New Haven, KY 40051-6063
Phone (502) 510-2028

Other practice location 1

131 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-8946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT39465FLMDPhysical Therapist
007844KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Home Health Agency, Inc. Past Accepting new patients

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1497527576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 NEW HAVEN RD",
            "city": "NEW HAVEN",
            "state": "KY",
            "postal_code": "400516063",
            "telephone_number": "502-510-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471835",
            "telephone_number": "502-510-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Daniel Dr",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404222527",
            "country_code": "US",
            "telephone_number": "859-236-8946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METCALF",
        "first_name": "JORDON",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007844",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.