Active NPI
Kathryn L Jordan, RMT
- Mechanotherapist
- Colorado Springs, CO
National Provider Identifier
1760763940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 11483
- Practice address
- 2207 N Weber St
Colorado Springs, CO 80907-6946 - Phone
- (719) 331-4589
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 11483 | CO | Primary |
| Massage Therapist | 225700000X | 11483 | CO |
Addresses
Primary practice location
2207 N Weber St
Colorado Springs, CO 80907-6946
Mailing address
2207 N Weber St
Colorado Springs, CO 80907-6946
Phone (719) 331-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11483 | Other | CO | DEPARTMENT OF REGULATORY AGENCIES - DIVISION OF REGISTRATIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11483 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1760763940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 N WEBER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076946",
"telephone_number": "719-331-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 N WEBER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076946",
"telephone_number": "719-331-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "KATHRYN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CO",
"license": "11483",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "11483",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF REGULATORY AGENCIES - DIVISION OF REGISTRATIONS",
"identifier": "11483",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.