Craig Michael Jordan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13357 Issued in MA

Practice address

620 Palmer Ave Ste 2
Falmouth, MA 02540-5103

Phone

(508) 540-5559

Fax

(508) 540-5660

NPI assigned

May 1, 2007

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY, MA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Bay Orthopedic Associates IncGroup PAC ID 3375448335, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plymouth Bay Orthopedic Associates Inc.

  dba Plymouth Bay Orthopedic & Sports Therapy

  • Occupational Therapist
  • Duxbury, MA
  • NPI 1881603868
  Medicare reassignment Care Compare group NPD
• Teton Hand Therapy LLC

  • Hand Occupational Therapist
  • Jackson, WY
  • NPI 1215086905
  Medicare reassignment NPD
• Plymouth Bay Orthopedic Associates Inc.

  • Orthopaedic Surgery Physician
  • Duxbury, MA
  • NPI 1548281488
  NPD
• Teton Hand Therapy, Inc.

  dba Teton Hand Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Gunnison, CO
  • NPI 1962785626
  NPD
• County Physical Therapy, LLC

  • Physical Therapist
  • Caribou, ME
  • NPI 1386686616

  Occupational Therapist

  NPD (past)
• Mountain Center Physical Therapy & Sports Rehab Inc

  dba Mountain Center Physical Therapy

  • Physical Therapy Clinic/Center
  • Conway, NH
  • NPI 1649354663
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1881815793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PALMER AVE STE 2",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025405103",
            "telephone_number": "508-540-5559",
            "fax_number": "508-540-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PALMER AVE STE 2",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025405103",
            "telephone_number": "508-540-5559",
            "fax_number": "508-540-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Center St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026015575",
            "country_code": "US",
            "telephone_number": "508-771-1294",
            "fax_number": "508-771-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004127",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NH",
            "license": "1839",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8902680",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Simmons PLLC
• Justin N Jones
• Kristyn J Jones, PTA
• Matthew Jones, DMD
• Charissa Marie Ely Jordan, FNP-C
• Joseph Cobb MD LLC
• Jayashree Prakash Joshi, OTRL, CHT
• Denise Kalbach
• Mark Stephen Kamp, MD
• Karen Von Haam MD PC

• Occupational Therapist in Falmouth, MA
• Providers in Falmouth, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.