Jordyn Minda

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT033047 Issued in PA

Practice address

3540 Washington Rd
Canonsburg, PA 15317-2957

Phone

(412) 367-2156

Fax

(724) 941-7772

NPI assigned

Jun 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Legacy Medical Centers LLC

  • Multi-Specialty Clinic/Center
  • MC Murray, PA
  • NPI 1013164623

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1619860038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "412-367-2156",
            "fax_number": "724-941-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "412-367-2156",
            "fax_number": "724-941-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDA",
        "first_name": "JORDYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "PT033047",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara I Mikitin
• Jenice Miljanovich, CRNP
• Carol A Miller-Weiner, M.S.W., L.S.W.
• Albert Sean Miller, ATC
• Nicholas J Miller, D.M.D.
• Mindful Space Counseling
• Mindful Tides Therapy LLC
• Corbyn Minich
• Christine Mitchell, CRNA
• MLS Mindful Therapy PC

• Physical Therapist in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.