Jordan Clayborne, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT 31487 Issued in FL

Practice address

4747 N Ocean Dr Ste 261
Lauderdale by the Sea, FL 33308-2956

Phone

(310) 405-1945

NPI assigned

Oct 10, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Physical Therapy IncGroup PAC ID 3476957580, 2 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 and National Provider Directory roles.

• Body Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1912593237

  Sports

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1962952333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DR STE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "310-405-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DR STE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "310-405-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORNE",
        "first_name": "JORDAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT 31487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Intergrative Wellness
• Challenges Conquered Counseling and Consulting, LLC
• Myriam Cyndy Cherubin
• Ashley Chess, PHARMD
• Jeannine Pearce Clark
• Clint C Comunale, LCSW
• Craig Depodesta, DO, PA
• Mark A Curatolo
• Curemed
• Lillian Marie Decosimo, M.D.

• Sports Physical Therapist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Sports Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.