Jordan Nicole Bell-Grimes

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

61045903 Issued in WA

Practice address

1416 E Main Ste F
Puyallup, WA 98372-3170

Phone

(253) 445-8663

NPI assigned

Jul 2, 2021

Last updated

Jul 2, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Outpatient Physical Therapy & Sports Rehabilitation Inc PC

  • Physical Therapist
  • Maple Valley, WA
  • NPI 1730394420
  NPD (past)

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1902477763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 133RD STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E MAIN STE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723170",
            "telephone_number": "253-445-8663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 S Meridian Ste 120",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983731654",
            "country_code": "US",
            "telephone_number": "253-445-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL-GRIMES",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61045903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Insights LLC
• Amber Belanger, LMHC, NCC, MHP
• Fassil Belay, PA-C
• David R Beling, MS
• Jean Michele C. Belista, PA-C
• Jane Bell
• Patrick Bell, DMD
• Bella Terra Massage & Wellness Center LLC (Bella Terra Spa & Wellness)
• Krystina Renee Bellucci, LMT
• Evelyn Mary Belmer

• Physical Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.