Organization Active NPI

Jordo Physical Therapy Services

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1841612223
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11561 Issued in NC
Legal business name
JORDO PHYSICAL THERAPY SERVICES
Practice address
17328 Newlands Corner LN
Charlotte, NC 28277-2480
Phone
(954) 643-2819
NPI assigned
Jan 20, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Jeffrey V Ordonio, PTNPI 1164685368
Title
President,Organizer
Phone
(954) 543-2819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11269 NC
Physical Therapist 225100000X 11561 NC Primary

Addresses

Primary practice location

17328 Newlands Corner LN
Charlotte, NC 28277-2480

Mailing address

17328 Newlands Corner LN
Charlotte, NC 28277-2480
Phone (954) 643-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314001898 NC Part B Supplier - Clinic/Group Practice 5991936924 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1841612223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17328 NEWLANDS CORNER LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772480",
            "telephone_number": "954-643-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17328 NEWLANDS CORNER LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772480",
            "telephone_number": "954-643-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDO PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "ORDONIO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT,ORGANIZER",
        "authorized_official_telephone_number": "954-543-2819",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11269",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.