Individual provider Active NPI

Vann Fraylick Jordan, DPT

  • Orthopedic Physical Therapist
  • Augusta, GA
National Provider Identifier
1578850103
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT010322 Issued in GA
Practice address
1441 Reynolds St
Augusta, GA 30901-1048
Phone
(706) 922-6555
NPI assigned
Jul 4, 2011
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT010322 GA Primary

Addresses

Primary practice location

1441 Reynolds St
Augusta, GA 30901-1048

Mailing address

1441 Reynolds St
Augusta, GA 30901-1048
Phone (706) 922-6555

Other practice location 1

2520 Associates Way
Evans, GA 30809-3106
Phone (706) 922-6550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000321 GA Practitioner - Physical Therapist in Private Practice 7911175765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Rehabilitation, Fitness and Performance CenterGroup PAC ID 3971653064, 12 clinicians

Practice addresses (Care Compare)

1441 Reynolds St
Augusta, GA 30901-1048
Phone (706) 823-3807

2520 Associates Way
Evans, GA 30809-3106
Phone (706) 922-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehabilitation, Fitness and Performance Center Orthopedic CurrentSince Jun 27, 2011 Accepting new patients
Peak Rehabilitation, Fitness and Performance Center LLC Past Accepting new patients

Locations

1305 Dantignac St
Augusta, GA 30901
Phone (706) 823-2807

1305 Dantignac St
#D
Augusta, GA 30901
Phone (706) 823-3807

1441 Reynolds St
Augusta, GA 30901
Phone (706) 823-3807

2520 Associates Way
Evans, GA 30809
Phone (706) 823-3807

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": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1578850103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 REYNOLDS ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011048",
            "telephone_number": "706-922-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 REYNOLDS ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011048",
            "telephone_number": "706-922-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Associates Way",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093106",
            "country_code": "US",
            "telephone_number": "706-922-6550",
            "fax_number": "706-922-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "VANN",
        "middle_name": "FRAYLICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-04",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT010322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.