Jordan Tait, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012567A Issued in IN

Practice address

5800 Fairfield Ave Ste 150
Fort Wayne, IN 46807-3450

Phone

(260) 744-5585

NPI assigned

Aug 3, 2017

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Steppin Up Physical Therapy, Inc.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1043296510
  NPD
• Steppin Up Physical Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1215005624
  NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1508381278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073450",
            "telephone_number": "260-744-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073450",
            "telephone_number": "260-744-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012567A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Taftaf
• Andrea Monica Tafur
• Anum Tahir
• Tailoring Minds LLC
• Tailoring Minds Transportation LLC
• Kristin M Tait, MSHS, PA-C
• Hassan Taki, M.D.
• Percy Boman Talati, RPT
• Torrey Talifer
• Brett Alexander Talley, PA-S

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.