Individual provider Active NPI

Jordan James McSweeney, DPT

  • Physical Medicine & Rehabilitation Physician
  • Lees Summit, MO
National Provider Identifier
1902336860
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2017017868 Issued in MO
Practice address
100 NE Tudor Rd Ste 110
Lees Summit, MO 64086-5601
Phone
(816) 554-6003
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2017017868 MO Primary

Addresses

Primary practice location

100 NE Tudor Rd Ste 110
Lees Summit, MO 64086-5601

Mailing address

100 NE Tudor Rd Ste 110
Lees Summit, MO 64086-5601
Phone (816) 554-6003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627001755 AZ Practitioner - Physical Therapist in Private Practice 4284906058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Physical Therapy LLCGroup PAC ID 5092147314, 2 clinicians

Practice addresses (Care Compare)

14270 W Indian School Rd
Suite C4
Goodyear, AZ 85395-9201
Phone (623) 440-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017017868MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince May 21, 2018 Accepting new patients
SVS Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2019 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

11335 W Buckeye Rd
Ste C106
Avondale, AZ 85323

14270 W Indian School Rd
Ste C4
Goodyear, AZ 85395
Phone (623) 440-4445

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1902336860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE TUDOR RD STE 110",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865601",
            "telephone_number": "816-554-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE TUDOR RD STE 110",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865601",
            "telephone_number": "816-554-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWEENEY",
        "first_name": "JORDAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2017017868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.