Individual provider Active NPI

Jordan L Schlabach, DPT

  • Physical Therapist
  • Shelbyville, TN
National Provider Identifier
1598355166
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15046 Issued in TN
Practice address
105 Northside Park Dr
Shelbyville, TN 37160-2062
Phone
(931) 735-6451
Fax
(931) 735-6453
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 15046 TN Primary

Addresses

Primary practice location

105 Northside Park Dr
Shelbyville, TN 37160-2062

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other identifiers 1

IdentifierTypeStateIssuer
044631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15046TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Wellness Clinic, LLC CurrentSince Feb 5, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 28, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Continuum Wellness Clinic LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 28, 2024 Accepting new patients

Locations

1075 S Idaho Rd
Ste 210
Apache Junction, AZ 85119
Phone (480) 983-0877

10004 204th Ave E
Ste 3100
Bonney Lake, WA 98391
Phone (253) 863-7510

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 5

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1598355166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHSIDE PARK DR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602062",
            "telephone_number": "931-735-6451",
            "fax_number": "931-735-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLABACH",
        "first_name": "JORDAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.