BRADLEY DEAN JORDAN (NPI# 1972585560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972585560 |
Entity Type | Individual |
Full Name | BRADLEY DEAN JORDAN |
Credential | OTR CHT |
Practice Address |
2375 Telstar Drive Suite 110 Pt Works PC Briargate Clinic Colorado Springs CO 80920-1029 |
Mailing Address |
1330 Quail Lake Loop Suite 100 Pt Works PC Cheyenne Mountain Clinic Colorado Springs CO 80906-4651 |
Practice Telephone | 7195907777 |
Practice Fax Number | 7195907121 |
Mailing Telephone | 7195790230 |
Mailing Fax Number | 7195790277 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2251S0007X |
Physical Therapist Specialization: Sports |
915917 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
915917 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
X | 225X00000X | Occupational Therapist | 915917 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841553708 | Bradley David Jordan | Dentist | 102 22nd Ave S, Brookings, SD 57006-2654 | 2012-06-15 |
Street Address |
2375 TELSTAR DRIVE SUITE 110 PT WORKS PC BRIARGATE CLINIC |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80920-1029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
Find all providers in zip 80920 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
1609850585 | James P Moran | Physical Therapist | 2375 Telstar Drive Suite 100, Pt Works PC, Colorado Springs, CO 80920-1029 | 2005-12-03 |
1730258732 | Hans Joseph Meissnest | Physical Therapist | 559 Vincent St, Attn: 21 Mdos/sgoy -pt, Colorado Springs, CO 80914-1540 | 2006-11-06 |
1063454874 | Proactive Physical Therapy LLC | Physical Therapist | 9320 Grand Cordera Pkwy, Suite 125, Colorado Springs, CO 80924-7003 | 2006-06-13 |
1518941491 | Gloria Renee Winters | Physical Therapist | 1330 Quail Lake Loop, Pt Works PC Cheyenne Mtn Clinic, Colorado Springs, CO 80906-4651 | 2005-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
1174178479 | Mckinley Lee | Physical Therapist | 126 Riverfront Ln, Avon, CO 81620-5421 | 2019-08-05 |
1043700594 | Colorado Sports Physical Therapy, LLC | Physical Therapist | 390 Empire Rd Ste 201, Lafayette, CO 80026-2606 | 2018-05-10 |
1447509153 | Velocity Physical Therapy | Physical Therapist | 10765 Mount Bross Way, Parker, CO 80138-8339 | 2012-09-10 |
1073757035 | Mark Plaatjes | Physical Therapist | 2775 Pearl St Ste 201, Boulder, CO 80302-3811 | 2009-04-21 |
1891725073 | Richard I Quincy Jr. | Physical Therapist | 2615 Curtis St, Denver, CO 80205-2633 | 2006-07-04 |
1326012568 | Mark F Reinking | Physical Therapist | 3333 Regis Blvd, G-4, Denver, CO 80221-1154 | 2006-02-15 |
1750996559 | Kathryn Reid Martin | Physical Therapist | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2020-09-09 |
1508497876 | Caitlin Marie Alexander | Physical Therapist | 625 Main St Ste 1b, Louisville, CO 80027-1893 | 2020-01-27 |
1750928495 | Build Sports Performance Lab and Physical Therapy | Physical Therapist | 625 Main St, Louisville, CO 80027-1893 | 2019-12-02 |
Find all providers with the same taxonomy |
City | COLORADO SPRINGS |
Zip Code | 80920 |
Please comment or provide details below to improve the information on BRADLEY DEAN 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.