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

Individual provider Physical Therapist · NPI 1053696476

Freda Mae Diasanta Jordan, RPT is a Physical Therapist in Silvis, Illinois. Licensed in Illinois and New York. Registered with an NPI since 2011.

Licensed in
IL, NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1900 10th St
Silvis, IL 61282-1909
Phone: (309) 278-1537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070018721 (IL)
Physical Therapist Taxonomy 225100000X · Licence 032857 (NY)

Record details

NPI number1053696476
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESDecember 5, 2014

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