Jordan Kondikoff

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1403487 Issued in TX

Practice address

2900 W Washington St Ste 74a
Stephenville, TX 76401-3736

Phone

(431) 510-0254

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1851196174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CLAIRMONT DR",
            "city": "PONDER",
            "state": "TX",
            "postal_code": "762591003",
            "telephone_number": "214-704-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W WASHINGTON ST STE 74A",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013736",
            "telephone_number": "431-510-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDIKOFF",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1403487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted Kirby III
• Kevin Paul Kirkpatrick, OTR
• KN Dental Clinic Inc (Haley Dental)
• Knichols & Bnichols Healthcare Inc. (Stephenville Nursing Home)
• Richard Kochoa, PT, DPT, MD, TPS
• Rami Koro
• Brittany Krueger, D.C.
• KTD, PLLC (Convenient Care Clinic)
• Stephen M Laduque, DDS PA
• Jennifer Nicole Lancaster, PHD, LAT, ATC

• Physical Therapist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.