MR. TRACY W JORDAN (NPI# 1366503518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366503518 |
| Entity Type | Individual |
| Full Name | MR. TRACY W JORDAN |
| Credential | L.P.T. |
| Practice Address |
1668 Nc Highway 16 S Taylorsville NC 28681-6285 |
| Mailing Address |
1668 Nc Hwy 16 South Taylorsville NC 28681 |
| Practice Telephone | 8286329736 |
| Practice Fax Number | 8286329544 |
| Mailing Telephone | 8286329736 |
| Mailing Fax Number | 8286329544 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | NC6896 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER # | 078VA | 01 |
| NC | LICENSE # | NC6896 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265726319 | Tracy Jordan | Pharmacist | 1845 Grandstand Pl Ste 300, Genoa Healthcare 106, Elgin, IL 60123-4987 | 2011-06-07 |
| 1700428737 | Tracy Jordan | Psychologist | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-10-10 |
| 1063880664 | Tracy A. Jordan | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2015-09-13 |
| 1205176708 | Tracy Denice Jordan | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2013-02-20 |
| 1487926671 | Tracy Minchew Jordan | Nurse Practitioner | 2104 Loop Rd, Suite C, Winnsboro, LA 71295-3338 | 2012-02-02 |
| 1770672297 | Tracy Jordan | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2006-10-12 |
| Street Address |
1668 NC HIGHWAY 16 S |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-6285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568493104 | Jill Marie Devries | Family Medicine | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2006-07-05 |
| 1124402946 | Iredell Physician Network LLC | Clinic/Center | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2015-07-10 |
| 1215325113 | Hannah F Hefner | Physician Assistant | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2014-12-30 |
| 1780003699 | Jonathan Paul Goodnight | Family Medicine | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2014-04-08 |
| 1689097974 | Ashley Moore Stell | Physician Assistant | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2014-01-23 |
| 1255609996 | Orthocarolina | Orthopaedic Surgery | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2011-12-08 |
| 1952622805 | Cody Adam Wingler | Family Medicine | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2010-06-15 |
| 1497908925 | Family Care Center, P.a | Family Medicine | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2008-10-28 |
| 1285890327 | Brett L Frye | Physical Therapist | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2008-07-29 |
| 1902019409 | Stephanie Paige Little | Nurse Practitioner | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073045 | Danielle Reid | Physical Therapist | 239 Clinton Ct, Taylorsville, KY 40071-7782 | 2019-09-23 |
| 1851656722 | Jason Larry Miller | Physical Therapist | 3251 W 5400 S, Taylorsville, UT 84129-3170 | 2012-07-06 |
| 1083981658 | Brittany Leigh Steen | Physical Therapist | 543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766 | 2011-11-25 |
| 1023325594 | Patrick Daniel Bray | Physical Therapist | 4813 Taylorsville Rd., Taylorsville, KY 40071 | 2010-09-07 |
| 1639484629 | Christie Humberg | Physical Therapist | 1018 Atherton Dr, Taylorsville, UT 84123-3470 | 2010-08-13 |
| 1235319252 | Randell Howe | Physical Therapist | 107 Windjammer Ct, Taylorsville, NC 28681-7642 | 2007-11-07 |
| 1386830685 | Aspenwood Physical Therapy Inc | Physical Therapist | 3086 Eugene Hill Way, Taylorsville, UT 84118-2290 | 2007-09-20 |
| 1669590774 | Bg House Enterprises Inc | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071 | 2007-03-27 |
| 1720102841 | Wendy Lee Bingham | Physical Therapist | 3845 W. 4700 S., Ihc Taylorsville Health Center, Taylorsville, UT 84118 | 2007-03-16 |
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
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| 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.