Jordan Carmichael, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217275 Issued in VA

Practice address

12 Chatham Heights Rd
Fredericksburg, VA 22405-2594

Phone

(540) 710-0130

NPI assigned

Aug 13, 2025

Last updated

Nov 13, 2025By the provider in NPPES

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, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusion Physiotherapy Associates LLCGroup PAC ID 5092093575, 19 clinicians

Dynamic Foot and Ankle Center LLCGroup PAC ID 9739408881, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fusion Physiotherapy Associates LLC

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1730530213
  Medicare reassignment Care Compare group NPD
• Dynamic Foot and Ankle Center LLC

  dba Dynamic Medical Centers

  • Foot & Ankle Surgery Podiatrist
  • Lorton, VA
  • NPI 1912399395

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1770469025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHATHAM HEIGHTS RD STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052593",
            "telephone_number": "540-710-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHATHAM HEIGHTS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052594",
            "telephone_number": "540-710-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts Healthcare LLC
• Caring Home Services, LLC
• Caritas Home Health LLC
• Stephen Matthew Carley, D.P.M.
• Carlos Alan Heresi, DDS, PC
• Sharon Marie Carmody, CCC-SLP
• Carol a. Voss, MD, LLC (Stafford Family Practice)
• Catherine Michelle Carpenter, FNP
• Laurie Carpenter, WHNP-BC
• William James Carr, PA

• Physical Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.