Jordan Nguyen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11214 Issued in AL

Practice address

120 Cahaba Valley Pkwy Ste 101
Pelham, AL 35124-1187

Phone

(205) 216-2613

Fax

(205) 216-2997

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan Roberts Former name

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608

  Physical Therapist

  Medicare reassignment NPD
• Encore Rehabilitation, Inc.

  dba Encore Coast Hand Therapy

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1871290031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 101",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-216-2613",
            "fax_number": "205-216-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350226028",
            "country_code": "US",
            "telephone_number": "205-481-7125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassidy Marie Nelson
• Robin M Nettles
• Neuens Diagnostics Inc
• Neurology Neurodiagnostic Lab LLC
• Kelley Nevels
• Mia Phi Nguyen
• Sarah Jessica Nguyen, OTD, OTR/L
• Natalie Marie Nichols, OTR/L
• Betty H Nicodemus, RPT
• Robert Bradley Nipper, PHARMD

• Physical Therapist in Pelham, AL
• Providers in Pelham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.