Individual provider Active NPI

Jordan Bissette, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1700654795
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22823 Issued in NC
Practice address
7540 Ramble Way Ste 101
Raleigh, NC 27616-4318
Phone
(919) 238-2140
NPI assigned
Dec 19, 2023
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22823 NC Primary

Addresses

Primary practice location

7540 Ramble Way Ste 101
Raleigh, NC 27616-4318

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002681 NC Practitioner - Physical Therapist in Private Practice 5890138416 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

7540 Ramble Way
Suite 101
Raleigh, NC 27616-4318
Phone (984) 238-2140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Dec 22, 2023 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Dec 22, 2023 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

304 W Weaver St
Unit 103
Carrboro, NC 27510
Phone (919) 942-0240

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

256 Grand Hill Pl
Holly Springs, NC 27540
Phone (888) 265-4003

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

7540 Ramble Way
Ste 101
Raleigh, NC 27616
Phone (919) 238-2140

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1700654795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-882-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 RAMBLE WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164318",
            "telephone_number": "919-238-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSETTE",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.