Individual provider Active NPI

Jordan Zelechoski, DPT

  • Physical Therapist
  • Conshohocken, PA
National Provider Identifier
1992253793
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025551 Issued in PA
Practice address
1628 Butler Pike
Conshohocken, PA 19428-1227
Phone
(610) 832-5335
NPI assigned
Sep 21, 2016
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT31956 FL
Physical Therapist 225100000X PT025551 PA Primary

Addresses

Primary practice location

1628 Butler Pike
Conshohocken, PA 19428-1227

Mailing address

7030 Pine Forest Rd
Pensacola, FL 32526-3920
Phone (850) 944-5360

Other practice location 1

785 Starr St Ste 107
Phoenixville, PA 19460-3674
Phone (610) 983-9300

Other practice location 2

7030 Pine Forest Rd
Pensacola, FL 32526-3920
Phone (850) 944-5360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002282 PA Practitioner - Physical Therapist in Private Practice 5092181024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT31956FLMDPhysical Therapist
PT025551PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. CurrentSince Sep 3, 2022 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 3, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Past Accepting new patients
Rehabclinics Galaxy Inc Past Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

1628 Butler Pike
Conshohocken, PA 19428
Phone (610) 832-5335

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

785 Starr St
Ste 107
Phoenixville, PA 19460
Phone (610) 983-9300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1992253793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 PINE FOREST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263920",
            "telephone_number": "850-944-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 BUTLER PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281227",
            "telephone_number": "610-832-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Starr St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194603674",
            "country_code": "US",
            "telephone_number": "610-983-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7030 Pine Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325263920",
            "country_code": "US",
            "telephone_number": "850-944-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELECHOSKI",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31956",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.