Vanessa Mae Jordan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12350 Issued in MN

Practice address

3365 Central Park Village Dr Ste 100
Eagan, MN 55121-7707

Phone

(952) 835-4512

Fax

(888) 425-0398

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• First Med Primary Care LLC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1447899778
  NPD (past)
• HPC Holdings LLC

  dba 360 Physical Therapy

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1396262234

  Physical Therapist

  NPD (past)
• Human Performance Center 10 PC

  • Physical Therapist
  • Edmond, OK
  • NPI 1245473115
  NPD (past)
• Human Performance Center 7 PC

  • Community Health Worker
  • Yukon, OK
  • NPI 1477730158
  NPD (past)
• Valir Outpatient Clinics LLC

  • Physical Therapist
  • Shawnee, OK
  • NPI 1245765536
  NPD (past)

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1780836361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 3RD ST N STE 105",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285403",
            "telephone_number": "952-835-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 CENTRAL PARK VILLAGE DR STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551217707",
            "telephone_number": "952-835-4512",
            "fax_number": "888-425-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "VANESSA",
        "middle_name": "MAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016740",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4624",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jones
• Gerica Annissa Jones
• Teresa Wiese Jones, M.D.
• Christopher Jordan, MACCCSLP
• Jessica Jordan, MACCCSLP
• Kevin Todd Josephson, PT
• Chanda D Jothen, DPT
• Joy Physical Therapy Inc.
• Judi Ross Holistic Therapy, LLC
• Judy Pedro-Lim (Eagan Children's Dentistry)

• Physical Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.