Active NPI
Jordan Engman, PT, DPT
- Physical Therapist
- Ellensburg, WA
National Provider Identifier
1821776246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61402453
- Practice address
- 100 E Jackson Ave Ste 201
Ellensburg, WA 98926-3692 - Phone
- (509) 925-6220
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61402453 | WA | Primary |
Addresses
Primary practice location
100 E Jackson Ave Ste 201
Ellensburg, WA 98926-3692
Mailing address
2522 N Benjamin LN
Ellensburg, WA 98926-6119
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61402453 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1821776246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 N BENJAMIN LN",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989266119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E JACKSON AVE STE 201",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263692",
"telephone_number": "509-925-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGMAN",
"first_name": "JORDAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61402453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.