Michael K Jordan, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

2305211549 Issued in VA

Practice address

1308 Martha Custis Dr
Alexandria, VA 22302-2025

Phone

(574) 360-4996

NPI assigned

Jul 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Regenerative Orthopedics and Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Washington, DC
  • NPI 1992458392
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1801318043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MARTHA CUSTIS DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223022025",
            "telephone_number": "574-360-4996",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 MARTHA CUSTIS DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223022025",
            "telephone_number": "574-360-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Kingsbury St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606545721",
            "country_code": "US",
            "telephone_number": "312-527-5801 x278",
            "fax_number": "312-644-4567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022222",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305211549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong Kook Lee MDPC
• Jane Jongolnee, PT
• Britney Jordan
• Jennifer Linda Jordan, PMHNP-BC
• Martin Eugene Jordan, D.D.S.
• Ralph Jordan, DDS
• Kristina Jorden, LCSW
• Nora Doctor Jose, M.D.
• Alice Joseph, MD
• Anthony William Joseph, PT, DPT

• Sports Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Sports Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.