Individual provider Active NPI

Edward Mathew Jordan, PT

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1568469658
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19052 Issued in MD
Practice address
32071 Beaver Run Dr
Ste B
Salisbury, MD 21804-1773
Phone
(440) 341-6520
Fax
(410) 341-6526
NPI assigned
Jul 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 19052 MD Primary

Addresses

Primary practice location

32071 Beaver Run Dr
Ste B
Salisbury, MD 21804-1773

Mailing address

PO Box 1859
Salisbury, MD 21802-1859
Phone (440) 341-6520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000406 MD Practitioner - Physical Therapist in Private Practice 8022915859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

32071 Beaver Run Dr
Suite B
Salisbury, MD 21804-1704
Phone (410) 341-6520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19052MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salisbury Musculoskeletal Clinic Physical Therapist CurrentSince Jun 15, 2004 Accepting new patients
Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc Physical Therapist Past Accepting new patients

Locations

32071 Beaver Run Dr
Ste B
Salisbury, MD 21804
Phone (410) 341-0520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568469658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1859",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021859",
            "telephone_number": "440-341-6520",
            "fax_number": "410-341-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DR",
            "address_2": "STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041773",
            "telephone_number": "440-341-6520",
            "fax_number": "410-341-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "EDWARD",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.