Jordan Tivis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1328258 Issued in TX

Practice address

110 Pate Orr Rd S
Keller, TX 76248-1400

Phone

(817) 337-0162

Fax

(817) 337-0235

NPI assigned

Feb 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

25.83 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

86.09

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.

• Bentz Physical Therapy, PC

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1316042955
  NPD
• McCombs and Associates Physical Therapy, Inc.

  • Physical Therapist
  • Lubbock, TX
  • NPI 1326166042
  NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1649804147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PATE ORR RD S",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481400",
            "telephone_number": "817-337-0162",
            "fax_number": "817-337-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PATE ORR RD S",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481400",
            "telephone_number": "817-337-0162",
            "fax_number": "817-337-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIVIS",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1328258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rose Tietjen, OTD
• David Bradley Tilley
• Anjana Timalsina, FNP
• Caitlynn Timberlake
• Timberland Family Dental PLLC
• Cardarius Tobin
• Kelly B Tolar, P.A.-C
• Roger L Tolar Jr., MD
• Cameron Tolliver
• Karine Tonnu

• Physical Therapist in Keller, TX
• Providers in Keller, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.