Individual provider Active NPI

Rose Jordan, PT

  • Physical Therapist
  • Santa Clarita, CA
National Provider Identifier
1578140653
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29821 Issued in CA
Practice address
28650 Newhall Ranch Rd
Santa Clarita, CA 91355-6066
Phone
(661) 347-0051
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 29821 CA Primary

Addresses

Primary practice location

28650 Newhall Ranch Rd
Santa Clarita, CA 91355-6066

Mailing address

28650 Newhall Ranch Rd
Santa Clarita, CA 91355-6066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602001855 CA Practitioner - Physical Therapist in Private Practice 0547669145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

305 Davenport St
Camarillo, CA 93012-7863
Phone (512) 327-4444

3210 Sepulveda Blvd
Torrance, CA 90505-2719
Phone (512) 327-4444

3499 Grande Vista Dr
Thousand Oaks, CA 91320-1131
Phone (512) 327-4444

4964 Telegraph Rd
Ventura, CA 93003-8181
Phone (805) 507-5156

8750 Burton Way
West Hollywood, CA 90048-3838
Phone (512) 327-4444

901 Town Ctr Dr
Oxnard, CA 93036-1127
Phone (512) 327-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1578140653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28650 NEWHALL RANCH RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913556066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28650 NEWHALL RANCH RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913556066",
            "telephone_number": "661-347-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ROSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.