Active NPI
William J Jordan Jr., PT
- Physical Therapist
- Sioux City, IA
National Provider Identifier
1699906636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02300
- Practice address
- 3500 Singing Hills Blvd
Ste 100
Sioux City, IA 51106-5127 - Phone
- (712) 274-4250
- Fax
- (712) 274-4260
- NPI assigned
- Aug 6, 2009
- Last updated
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 02300 | IA | Primary |
Addresses
Primary practice location
3500 Singing Hills Blvd
Ste 100
Sioux City, IA 51106-5127
Mailing address
PO Box 328
Sioux City, IA 51102-0328
Phone (712) 279-5830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 W 7TH St
Alta, IA 51002-1525
Phone (515) 225-4070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02300 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux City Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
-
dba Sioux City Physical Therapy
- Physical Therapist
- Sioux City, IA
- NPI 1346313996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1699906636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511020328",
"telephone_number": "712-279-5830",
"fax_number": "712-279-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SINGING HILLS BLVD",
"address_2": "STE 100",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511065127",
"telephone_number": "712-274-4250",
"fax_number": "712-274-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "WILLIAM",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.