Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Eugene Jordan, PTA

Individual provider Geriatric Physical Therapist · NPI 1215634159

Anthony Eugene Jordan, PTA is a Geriatric Physical Therapist in Coachella, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

52115 Prosecco Way
Coachella, CA 92236-8511
Phone: (760) 777-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 3854 (CA)
Geriatric Physical Therapist Taxonomy 2251G0304X

Record details

NPI number1215634159
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 10, 2023
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023
Mailing address52115 Prosecco Way, Coachella, CA 92236-8511