PROF. JERRY J. JORDAN (NPI# 1447385950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447385950 |
Entity Type | Individual |
Full Name | PROF. JERRY J. JORDAN |
Credential | ED.D., CTRS |
Practice Address |
325 Donna Ave Guthrie OK 73044-9494 |
Practice Telephone | 4057449424 |
Practice Fax Number | 4057446507 |
Mailing Telephone | 4057449424 |
Mailing Fax Number | 4057446507 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932345287 | Jerry Jordan | Home Health Aide | 3806 Meadowbrook Blvd, University Heights, OH 44118-4433 | 2008-12-16 |
1457815706 | Jerry Monroe Jordan | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-01-30 |
1346414851 | Jerry Wallace Jordan Jr. | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2003 | 2008-04-15 |
Street Address |
325 DONNA AVE |
City | GUTHRIE |
State | OK |
Zip Code | 73044-9494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
1518487412 | Robin Lynn Wheeler | Peer Specialist | 2000 Woodlawn Dr. Apt B7, Guthrie, OK 73044 | 2017-06-21 |
1083147284 | Kourtney Stafford | Case Manager/Care Coordinator | 390 S Henney Rd, Guthrie, OK 73044 | 2017-04-05 |
1396297826 | Mary Ann Oliver | Case Management | 2403 S Division, Suite C&d, Guthrie, OKLAHOMA 73044 | 2016-11-01 |
1881143204 | Kathryn Elizabeth Price | Dietitian, Registered | 5750 Cedar Tree Cir, Guthrie, OK 73044 | 2016-09-27 |
1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
1023447166 | Leland Finn | Case Manager/Care Coordinator | 108 Harvest Road, Guthrie, OK 73044 | 2013-11-08 |
1891044632 | Sycheekia D King | Case Management | 913 E.springer, Guthrie, OK 73044 | 2012-09-07 |
1235486929 | Leondra Janell Doakes | Counselor | 1321 E. Oklahoma Ave., Guthrie, OK 73044 | 2012-08-13 |
1568756120 | Linda Jo Roper | Behavioral Analyst | 104 Eastwood Drive, Guthrie, OK 73044 | 2011-06-01 |
Find all providers in zip 73044 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083253264 | Amanda Sue Wood | Recreation Therapist | 4324 Avalon Ct, Oklahoma City, OK 73120-8175 | 2020-01-05 |
1861047052 | Monique Marie Di Lonardo | Recreation Therapist | 9526 S 95th East Ave, Tulsa, OK 74133-6163 | 2019-08-05 |
1184046328 | Tanya Fisher | Recreation Therapist | 205 N Admire Ave, El Reno, OK 73036-2603 | 2014-01-07 |
1073766499 | Stephanie Jo Bushnell | Recreation Therapist | 927 Swan Lake Ct, Edmond, OK 73003-4807 | 2008-10-29 |
1821274739 | Kristy Doyle | Recreation Therapist | 921 Ne 13th St # 117c, Oklahoma City, OK 73104-5007 | 2008-01-10 |
1376730077 | Susan Diane Bishop | Recreation Therapist | 2835 Bobwhite Trl, Edmond, OK 73025-2305 | 2007-09-27 |
1437358975 | Carolyn Neoma Moore | Recreation Therapist | 12007 S Cedar Ave, Jenks, OK 74037-3344 | 2007-07-14 |
1982803482 | Darlene Rumer Mcgrail | Recreation Therapist | 8509 E 33rd St, Tulsa, OK 74145-1510 | 2007-07-13 |
1952425274 | Jo Ann Coco-ripp | Recreation Therapist | 110 W Husband Ct, Stillwater, OK 74075-1754 | 2007-03-19 |
1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PROF. JERRY J. 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.