Individual provider Active NPI

Jordan Ann Chittle, DPT

  • Physical Therapist
  • Jefferson, OH
National Provider Identifier
1801774583
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021991 Issued in OH
Practice address
1090 Footville Richmond Rd W
Jefferson, OH 44047-9621
Phone
(440) 813-5273
NPI assigned
Aug 22, 2025
Last updated
Apr 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021991 PA
Physical Therapist 225100000X PT021991 OH Primary
Physical Therapist 225100000X PT021991 WV

Addresses

Primary practice location

1090 Footville Richmond Rd W
Jefferson, OH 44047-9621

Mailing address

1090 Footville Richmond Rd W
Jefferson, OH 44047-9621
Phone (440) 813-5273

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

LicenseStateTypeSpecialty
PT021991OHMDPhysical Therapist
PT021991PAMDPhysical Therapist
PT021991WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1801774583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 FOOTVILLE RICHMOND RD W",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479621",
            "telephone_number": "440-813-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 FOOTVILLE RICHMOND RD W",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479621",
            "telephone_number": "440-813-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTLE",
        "first_name": "JORDAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021991",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021991",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT021991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.