Iradis Jordan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1020 Titan CT Ste 102
Fort Walton Beach, FL 32547-6638

Phone

(850) 863-7581

Fax

(833) 355-1090

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1750295945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MARLBERRY TRCE",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TITAN CT STE 102",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476638",
            "telephone_number": "850-863-7581",
            "fax_number": "833-355-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "IRADIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalen Jamar Jones
• Jeffrey Jones
• Michael Cody Jones
• Sara Elaine Jones
• Vincent Thomas Jones, MD
• Joseph R Agostinelli DPM PA
• Journeypure Fort Walton
• Ashley Bates Joyner, M.S., CCC-SLP
• Yelda Jozaghi
• Anthony Jason Juliano, PHARMD

• Physical Therapy Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.