Active NPI
Angela M Jordan, PT
- Physical Therapist
- Flowood, MS
National Provider Identifier
1679862098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2977
- Practice address
- 104 Burney Dr
Flowood, MS 39232-6621 - Phone
- (601) 987-8202
- Fax
- (601) 718-0293
- NPI assigned
- Apr 6, 2011
- Last updated
- Jul 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2977 | MS | Primary |
Addresses
Primary practice location
104 Burney Dr
Flowood, MS 39232-6621
Mailing address
104 Burney Dr
Flowood, MS 39232-6621
Phone (601) 987-8202
Other practice location 1
225 Katherine Dr
Flowood, MS 39232-9588
Phone (601) 750-3120
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1679862098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BURNEY DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392326621",
"telephone_number": "601-987-8202",
"fax_number": "601-718-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BURNEY DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392326621",
"telephone_number": "601-987-8202",
"fax_number": "601-718-0293"
}
],
"practiceLocations": [
{
"address_1": "225 Katherine Dr",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392329588",
"country_code": "US",
"telephone_number": "601-750-3120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.