Jordan Christopher Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

094118 Issued in IA

Practice address

318 N Main St
Charles City, IA 50616-2020

Phone

(641) 715-1230

NPI assigned

Feb 14, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Physical Therapy Associates LLCGroup PAC ID 1951405174, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745

  IA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Synergy Physical Therapy & Sports Medicine, P.C.

  • Physical Therapy Clinic/Center
  • Charles City, IA
  • NPI 1881080984

  IA, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1568928596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506160093",
            "telephone_number": "641-715-1230",
            "fax_number": "641-715-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N MAIN ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162020",
            "telephone_number": "641-715-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Park Street",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "IA",
            "postal_code": "50475",
            "country_code": "US",
            "telephone_number": "641-892-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "094118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth James Sheckler, D.D.S.
• Ashley Renee Siemons, MD
• Slinger Chiropractic Clinic, P.C.
• Anthony G Slinger, D.C.
• Kelly Ann Smith Arickx
• Robert Nelson Spencer, D.D.S. M.S.
• St Croix Hospice LLC
• Joanne Kathryn Starr, ARNP
• Surgical Associates PC Crna
• Synergy Physical Therapy & Sports Medicine, P.C.

• All providers in Charles City, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.