Active NPI
Jordan Coverson
- Physical Therapist
- Nashville, TN
National Provider Identifier
1518630292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13723
- Practice address
- 6816 Charlotte Pike Ste 103
Nashville, TN 37209-4275 - Phone
- (615) 356-0710
- Fax
- (615) 356-0711
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN | ||
| Physical Therapist | 225100000X | 13723 | TN | Primary |
Addresses
Primary practice location
6816 Charlotte Pike Ste 103
Nashville, TN 37209-4275
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13723 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ud Health LLC | Physical Therapist | Current | Accepting new patients |
Locations
100 Discovery Blvd
Ste 727
Newark, DE 19713
540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000
Interoperability endpoints
- jordan.coverson.p1@direct.udel.nextgenshare.com
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": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1518630292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350",
"fax_number": "615-373-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6816 CHARLOTTE PIKE STE 103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094275",
"telephone_number": "615-356-0710",
"fax_number": "615-356-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVERSON",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.