Individual provider Active NPI

Rebecca Jordan, DPT,PT

  • Physical Therapist
  • Kannapolis, NC
National Provider Identifier
1740708601
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1401 S Ridge Ave
Kannapolis, NC 28083-6056
Phone
(980) 242-0690
NPI assigned
Aug 31, 2017
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 Primary

Addresses

Primary practice location

1401 S Ridge Ave
Kannapolis, NC 28083-6056

Mailing address

PO Box 248
Kannapolis, NC 28082-0248

Other practice location 1

2319 Concord Lake Rd
Concord, NC 28025-2813
Phone (980) 242-0690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521002363 PA Practitioner - Physical Therapist in Private Practice 2961767025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lively Therapy Services Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2319 Concord Lake Rd
Concord, NC 28025
Phone (980) 242-0690

1401 S Ridge Ave
Kannapolis, NC 28083
Phone (980) 242-0690

82 Pennsylvania Ave
Avondale, PA 19311
Phone (610) 268-5333

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

Organizations & group practices 3

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1740708601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280820248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RIDGE AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836056",
            "telephone_number": "980-242-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Concord Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252813",
            "country_code": "US",
            "telephone_number": "980-242-0690",
            "fax_number": "980-236-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "REBECCA",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.