DR. ANDREW MONNOYER JORDAN (NPI# 1407827926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407827926 |
| Entity Type | Individual |
| Full Name | DR. ANDREW MONNOYER JORDAN |
| Credential | PT, DPT, OCS |
| Practice Address |
310 Taughannock Blvd Ithaca NY 14850-3251 |
| Practice Telephone | 6072523500 |
| Mailing Telephone | 6072523500 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
018449-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00332729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871477 | Andrew Jordan | Case Manager/Care Coordinator | 1011 Lake Shore Dr Ste 618, Lake Charles, LA 70601-9419 | 2013-11-08 |
| 1679772180 | Andrew Jordan | Dentist | 5841 Snider Road, Mason, OH 45040 | 2007-07-13 |
| 1649302860 | Andrew B Jordan Jr. | Dentist | 1405 S John Redditt Dr, Lufkin, TX 75904-4811 | 2007-03-12 |
| 1669036885 | Andrew Jordan | Behavior Technician | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2019-04-23 |
| 1851804348 | Andrew Jordan | Chiropractor | 1545 Broadway # 1a, San Francisco, CA 94109-2539 | 2017-11-07 |
| 1194178871 | Andrew Jordan | Dentist | 215 Commerce St, Greenville, NC 27858-5029 | 2016-07-19 |
| 1326397548 | Andrew M Jordan | Case Manager/Care Coordinator | 3621 N Kelley Ave, Suite 100, Oklahoma City, OK 73111-4520 | 2012-09-04 |
| 1285711572 | Andrew D Jordan | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2006-11-01 |
| 1992723563 | Andrew A Jordan | Ophthalmology | 1717 University Dr S, Fargo, ND 58103-4939 | 2006-07-18 |
| Street Address |
310 TAUGHANNOCK BLVD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088073 | Kyle R Adams | Physical Therapist | 310 Taughannock Blvd, Suite 1c, Ithaca, NY 14850 | 2005-07-28 |
| 1609409358 | Devan Alexander Shambo | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2020-02-20 |
| 1477054732 | Kathy Eliason | Registered Nurse | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2018-02-22 |
| 1194226456 | Jamie Balas | Health Educator | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2018-02-22 |
| 1447765706 | Joseph Ricotta | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-12-08 |
| 1225542673 | Anthony Albert Spinelli | Specialist/Technologist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-11-21 |
| 1184136863 | Nicole Humpf | Specialist/Technologist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-11-02 |
| 1497271167 | Krista Ali Fedorchak | Dietitian, Registered | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-08-15 |
| 1083137418 | Christine Marie Feely | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-07-18 |
| 1598202418 | Natalie Pape | Dietitian, Registered | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171507 | David Alan Mccune | Physical Therapist | 2359 N Triphammer Rd, Suite 5, Ithaca, NY 14850-1059 | 2005-08-11 |
| 1609409358 | Devan Alexander Shambo | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2020-02-20 |
| 1083137418 | Christine Marie Feely | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-07-18 |
| 1306262910 | Lucinda Leigh Tashman | Physical Therapist | 2359 N Triphammer Rd, Ithaca, NY 14850-1059 | 2014-03-07 |
| 1093054884 | Maxwell Cantor | Physical Therapist | 310 Taughannock Blvd, Physical Therapy, Ithaca, NY 14850-3251 | 2013-02-14 |
| 1306118625 | Jaclyn A Barbano | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2012-02-01 |
| 1649593211 | Michael John Costello | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2010-03-10 |
| 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 |
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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.