Jordan Marks Nihoul, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12258 Issued in CT

Practice address

21 Holmes Cir
Farmington, CT 06032-2507

Phone

(575) 642-2395

NPI assigned

Jan 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jordan@relevatept.com

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.

• Relevate Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Farmington, CT
  • NPI 1285553404
  NPD (past) Authorized official

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1649669227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOLMES CIR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322507",
            "telephone_number": "575-642-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOLMES CIR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322507",
            "telephone_number": "575-642-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIHOUL",
        "first_name": "JORDAN",
        "middle_name": "MARKS",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12258",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan@relevatept.com",
            "affiliation": "N",
            "address_1": "21 Holmes Cir",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geetha Raghavi Nichanametla, MD
• Frank C. Nichols, DDS
• Ginger Eileen Hepler Nichols, M.S., C.G.C, L.G.C
• Johnathan Lee Nieves, MD
• Julian Nieves, MD
• Jacqueline S Nissen, MD
• Unknown Nivedita, M.B.B.S
• Erica Shen Nofziger, MD, PHD, MBA
• Gerard Michael Nolan, M.D.
• Nordstrom Inc & Subsidiaries

• Physical Therapist in Farmington, CT
• Providers in Farmington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.