Individual provider Active NPI

Jordan Douglas Ratermann, PT, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1508459611
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1343432 Issued in TX
Practice address
4701 W Parker Rd # 625
Plano, TX 75093-3376
Phone
(972) 398-2555
NPI assigned
Feb 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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 1343432 TX Primary

Addresses

Primary practice location

4701 W Parker Rd # 625
Plano, TX 75093-3376

Mailing address

15750 Spectrum Dr Apt 2307
Addison, TX 75001-6364
Phone (618) 973-8177

Other practice location 1

13000 Josey Ln Ste 150
Farmers Branch, TX 75234-3670
Phone (972) 247-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823001125 IL Practitioner - Physical Therapist in Private Practice 2365981206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

628 S Madison St
Lebanon, IL 62254-1743
Phone (618) 310-3459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1343432TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Apexnetwork Aviston, LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Bir JV LLP Past Accepting new patients

Locations

820 Steel Bridge St
Aviston, IL 62216
Phone (618) 574-1824

1350 Grand Ave
Beardstown, IL 62618
Phone (217) 350-0361

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

628 S Madison St
Lebanon, IL 62254
Phone (618) 310-3459

Organizations & group practices 4

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1508459611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 SPECTRUM DR APT 2307",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016364",
            "telephone_number": "618-973-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W PARKER RD # 625",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933376",
            "telephone_number": "972-398-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Josey Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752343670",
            "country_code": "US",
            "telephone_number": "972-247-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATERMANN",
        "first_name": "JORDAN",
        "middle_name": "DOUGLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1343432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.