Jordan A Earlywine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007821 Issued in KY

Practice address

540 Centre View Blvd
Crestview Hills, KY 41017-3400

Phone

(513) 221-1100

Fax

(859) 341-3913

NPI assigned

Nov 8, 2019

Sex

Female

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

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.earlywine@mayfield.eclinicaldirectplus.com

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.

• Mayfield Clinic Inc

  • Neurological Surgery Physician
  • Cincinnati, OH
  • NPI 1013942101

  KY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mayfield Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Miamisburg, OH
  • NPI 1780423467
  NPD

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1710522131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 BARNWOOD DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172501",
            "telephone_number": "859-331-4163",
            "fax_number": "859-331-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173400",
            "telephone_number": "513-221-1100",
            "fax_number": "859-341-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLYWINE",
        "first_name": "JORDAN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester Sherman Duplechan, M.D.
• Michael William Dusing, MD
• Sophie Duval-Austin, DMD
• Dva Renal Healthcare Inc (Crestview Hills Dialysis)
• Matthew J Dykhuizen, M.D.
• Brooke B Edwards, M.D.
• David Edwards, APRN, MSN, PMHNP-BC
• Shahed Elhamdani, MD
• Edward R Elicker, MD
• Els Senior Services, LLC (FirstLight HomeCare of Northern Kentucky)

• Physical Therapist in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.