Rewired Movement Physical Therapy and Performance PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REWIRED MOVEMENT PHYSICAL THERAPY AND PERFORMANCE PLLC

Practice address

2321 S 16TH St
Tacoma, WA 98405-2911

Phone

(360) 742-6217

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Megan Jordan, DPTNPI 1760117907

Title

Physical Therapist/Owner

Phone

(360) 742-6217

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Elizabeth Jordan, DPT

  • Physical Therapist
  • Tacoma, WA
  • NPI 1760117907
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1952133993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 S 16TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052911",
            "telephone_number": "360-742-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 S 16TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052911",
            "telephone_number": "360-742-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED MOVEMENT PHYSICAL THERAPY AND PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "360-742-6217",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Zeke Revelee, EMT
• Adilenne Reveles
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• Stephen A Reville, MD
• Revive Spa Hydration PLLC
• Christie Reyes
• Maria Florentina Reyes
• Michael Eugene Reyes
• Nancy Michelle Reyes, MSW, LCIASW
• Pete Reyes, LPN

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.