Individual provider Active NPI

Jordan Patrick Hartman, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1780113373
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007091 Issued in KY
Practice address
6413 Dutchmans Pkwy
Louisville, KY 40205-3339
Phone
(502) 694-3500
Fax
(502) 537-6377
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 007091 KY Primary

Addresses

Primary practice location

6413 Dutchmans Pkwy
Louisville, KY 40205-3339

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (502) 694-3500

Other practice location 1

2011 Grinstead Dr Unit 101
Louisville, KY 40204-1296
Phone (502) 813-7838

Other practice location 2

805 Blankenbaker Pkwy Ste 107
Louisville, KY 40243-2804
Phone (502) 253-0833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170630001190 KY Practitioner - Physical Therapist in Private Practice 7618246877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

630 Euclid Ave
Suite 140
Lexington, KY 40502-1997
Phone (859) 303-9980

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007091KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico, LTD Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 28, 2025 Accepting new patients
Agilitas USA Inc Past Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

630 Euclid Ave
Ste 140
Lexington, KY 40502
Phone (859) 303-9980

6413 Dutchmans Pkwy
Louisville, KY 40205
Phone (502) 694-3500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1780113373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "502-694-3500",
            "fax_number": "502-537-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 DUTCHMANS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053339",
            "telephone_number": "502-694-3500",
            "fax_number": "502-537-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Grinstead Dr Unit 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041296",
            "country_code": "US",
            "telephone_number": "502-813-7838",
            "fax_number": "502-813-7839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Blankenbaker Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402432804",
            "country_code": "US",
            "telephone_number": "502-253-0833",
            "fax_number": "502-253-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JORDAN",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.