PROF. JERRY J. JORDAN


Address: 325 Donna Ave, Guthrie, OK 73044-9494
Phone: 4057449424

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JERRY JORDAN

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

Office Location

Street Address 325 DONNA AVE
City GUTHRIE
State OK
Zip Code 73044-9494

Providers in the same zip code

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 Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City GUTHRIE
Zip Code 73044

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Dataset Information

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.

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