Individual provider Active NPI

Jordan Humitz

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1548190861
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501304386 Issued in MI
Practice address
24415 Halsted Rd
Farmington Hills, MI 48335-1669
Phone
(248) 602-0006
Fax
(248) 341-0961
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 5501304386 MI Primary

Addresses

Primary practice location

24415 Halsted Rd
Farmington Hills, MI 48335-1669

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603002877 MI Practitioner - Physical Therapist in Private Practice 4486125176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HQ of Farmington Hills LLCGroup PAC ID 4981055506, 8 clinicians

Practice addresses (Care Compare)

24415 Halsted Rd
Farmington Hills, MI 48335-1669
Phone (248) 602-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501304386MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HQ of Farmington Hills LLC Physical Therapist CurrentSince May 20, 2026 Accepting new patients

Locations

24415 Halsted Rd
Farmington Hills, MI 48335
Phone (248) 602-0006

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

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": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1548190861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24415 HALSTED RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351669",
            "telephone_number": "248-602-0006",
            "fax_number": "248-341-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMITZ",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.