Joshua D Jordan, PT, DPT, CMTPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2051 Issued in ND

Practice address

3155 Bluestem Dr # 288
West Fargo, ND 58078-8002

Phone

(701) 353-5476

NPI assigned

Feb 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Resilient Athlete Center

  • Physical Therapy Clinic/Center
  • West Fargo, ND
  • NPI 1124514229
  NPD (past) Authorized official
• The Resilient Athlete Center

  • Physical Therapist
  • West Fargo, ND
  • NPI 1598251639
  NPD (past) Authorized official

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1861766529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 BLUESTEM DR # 288",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788002",
            "telephone_number": "701-353-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 BLUESTEM DR # 288",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788002",
            "telephone_number": "701-353-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CMTPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206948",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle D Johnson, MD
• Rachel Johnson
• Sheridan Johnson
• Tiffany Johnson, D.C.
• Kassandra Jones, PT
• Jorgenson Family Chiropractic, P.C.
• Brett Jorgenson, D.C.
• Sarah Joyce
• Alexandra G Juve
• Savana Kalenberg

• Physical Therapist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.