Active NPI
Jordan Cottle, MS
- Clinical Exercise Physiologist
- Durham, NC
National Provider Identifier
1831950849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 1821 Hillandale Rd Ste 25B
Durham, NC 27705-2671 - Phone
- (919) 660-6770
- NPI assigned
- Jan 17, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
1821 Hillandale Rd Ste 25B
Durham, NC 27705-2671
Mailing address
600 Willard St Unit 555
Durham, NC 27701-4658
Phone (978) 551-0584
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1831950849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WILLARD ST UNIT 555",
"city": "DURHAM",
"state": "NC",
"postal_code": "277014658",
"telephone_number": "978-551-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 HILLANDALE RD STE 25B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052671",
"telephone_number": "919-660-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTLE",
"first_name": "JORDAN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.