Thomas Roger Jordan

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

R02499 Issued in MD

Practice address

4907 Niagara Rd Ste 102
College Park, MD 20740-1100

Phone

(301) 474-0067

Fax

(202) 204-5849

NPI assigned

Jun 30, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1821519737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIDGE RD UNIT C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702949",
            "telephone_number": "301-474-0067",
            "fax_number": "202-204-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 NIAGARA RD STE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401100",
            "telephone_number": "301-474-0067",
            "fax_number": "202-204-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "THOMAS",
        "middle_name": "ROGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R02499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Johnson X, MS, LCPC, LPC
• Regina Johnson, PHARM.D
• Aisha Latisha Jones
• Cathy Mae Jones, CSC-AD
• Leila H Jones, PH.D.
• Jun Y. Lee, D.D.S., P.C.
• Hawa Abdullahi Kabir
• Andrew Kachur, PHARM D, BCGP
• Ishmeal Kamara
• Patrick Kristian Kamdem

• Massage Therapist in College Park, MD
• Providers in College Park, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.