DR. CHARLES JORDAN (NPI# 1205340890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205340890 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JORDAN |
| Credential | PT, DPT |
| Practice Address |
2699 Wehrle Dr Williamsville NY 14221-7332 |
| Mailing Address |
50 Brantley Ct Getzville NY 14068-1547 |
| Practice Telephone | 7166323700 |
| Mailing Telephone | 7164654510 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
042557 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477910 | Charles B. Jordan | Technician | 1339 Fairview Rd, Webster Springs, WV 26288-8444 | 2020-08-11 |
| 1306126263 | Charles Raymond Jordan | Nurse Practitioner | 1350 Sunset Dr Ste B, Grenada, MS 38901-4079 | 2011-08-24 |
| 1568561462 | Charles E Jordan | Orthopaedic Surgery | 751 Pre Emption Rd, Suite 1, Geneva, NY 14456 | 2006-09-21 |
| 1871565374 | Charles J Jordan | Dentist | 1425 W Grand Ave Ste 101, Haysville, KS 67060-1270 | 2006-02-07 |
| 1518516392 | Charles Jordan | Dentist | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2019-09-05 |
| 1932752110 | Charles Jordan | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2019-07-17 |
| 1679033476 | Charles Jordan | Nurse Practitioner | 10201 Highway 16, Comanche, TX 76442-4462 | 2019-03-20 |
| 1578060794 | Charles Jordan | Counselor | 4124 Linden Ave, Dayton, OH 45432-3018 | 2018-04-13 |
| 1386168334 | Charles Jermaine Jordan | Emergency Medical Technician, Basic | Lyster Army Health Clinic, Building 301, Andrews Avenue, Fort Rucker, AL 36362-5333 | 2017-08-01 |
| 1013295120 | Charles R Jordan | Pharmacist | 13111 W Alameda Pkwy, Lakewood, CO 80228-3108 | 2011-07-25 |
| Street Address |
2699 WEHRLE DR |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013904283 | Harris Hill Nursing Facility, LLC | Skilled Nursing Facility | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2005-10-04 |
| 1386275113 | Shannon Wiseman | Occupational Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-30 |
| 1477183960 | Krysta Janis | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-23 |
| 1235769720 | Katharine Bull | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-23 |
| 1134759657 | Carrie Ann Mccoy | Occupational Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-23 |
| 1619507191 | Jennifer Brennan | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-23 |
| 1952931610 | Amanda Rose Szczesniak Wesolowski | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-22 |
| 1114557873 | Emily Lynn Cincotta | Occupational Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2020-01-22 |
| 1659681658 | Harris Hill Nursing Facility | Nursing Facility/Intermediate Care Facility | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2010-10-12 |
| 1093995011 | Laura Jean Krog | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306151550 | Rose Physical Therapy Pllc | Physical Therapist | 60 Lakeside Dr, Williamsville, NY 14221-1748 | 2010-08-12 |
| 1568078467 | Jessica S Schrauth | Physical Therapist | 15 S Forest Rd, Williamsville, NY 14221-6444 | 2020-09-17 |
| 1578178869 | Jill Graney | Physical Therapist | 180 Park Club Ln Ste 225a, Williamsville, NY 14221-5260 | 2020-09-13 |
| 1871108555 | Seth J Goodier | Physical Therapist | 15 S Forest Rd, Williamsville, NY 14221-6444 | 2020-09-10 |
| 1386281889 | Michael James Brath | Physical Therapist | 705 Maple Rd Ste 100, Williamsville, NY 14221-3291 | 2019-12-03 |
| 1164067351 | Angela Bucella | Physical Therapist | 192 Park Club Ln, Williamsville, NY 14221-5270 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on DR. CHARLES JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.