Ellen Jordan

Physical Therapy Assistant · Summit, MS

Individual Active NPI

NPI number 1922288083

Practice location

4109 Highway 98 W
Summit, MS 39666-9132
Phone
(601) 683-6644

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NPI record

NPI
1922288083
Entity type
Individual (Type 1)
Enumeration date
November 6, 2007
Last updated
July 18, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 3887 MS

About Ellen Jordan

Ellen Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 4109 Highway 98 W, Summit, MS 39666-9132. The NPI number 1922288083 was assigned on November 6, 2007 and the record was last updated on July 18, 2012.

Ellen Jordan lists a license in the registry: #3887 (MS) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Jordan?

The NPI number is 1922288083.

What is the phone number of Ellen Jordan?

The phone number listed for the practice location is (601) 683-6644.

Where is Ellen Jordan located?

4109 Highway 98 W, Summit, MS 39666-9132.

What is the taxonomy code for Ellen Jordan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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