Jordan Witt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213681 Issued in VA

Practice address

1516 Koger Center Blvd
North Chesterfield, VA 23235-4721

Phone

(804) 220-0106

NPI assigned

Jun 18, 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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preventative Physical Therapy PLLCGroup PAC ID 6305290628, 4 clinicians

Practice addresses (Care Compare)

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.

• Preventative Physical Therapy PLLC

  • Physical Therapist
  • North Chesterfield, VA
  • NPI 1861174823
  Medicare reassignment Care Compare group NPD Authorized official
• Center for Physical Therapy & Sports Medicine, PC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1851484448
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1720604531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MILLSAP LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353717",
            "telephone_number": "804-220-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354721",
            "telephone_number": "804-220-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Winn
• Amelia Lucinda Woodson Winston, LPN
• Winston's Residential, LLC
• Taryn Alyssa Winters, DPT
• Thamer Wisam
• Christopher Wolberg, DDS
• Mandi M Wolfe, FPN
• Womens Wellness Center of Virginia, LLC
• Philip Wong, PHARM.D.
• Alicia D Wood, P.A.-C

• Physical Therapist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.