Active NPI
Jordan Douglas Ratermann, PT, DPT
- Physical Therapist
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1343432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1343432 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apexnetwork Aviston, LLC | Physical Therapist | Current | 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.
-
dba ApexNetwork Physical Therapy
- Specialist
- Highland, IL
- NPI 1033166061
Physical Therapist
-
- Physical Therapy Clinic/Center
- Aviston, IL
- NPI 1437744422
Physical Therapist
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
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.