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

Individual provider Physical Therapist · NPI 1235616582

Jeremy D Jordan, PT, DPT is a Physical Therapist in Private Practice in Prescott, Arizona. Qualified in 2018, 8 years ago. Practices with Therapy Works LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3117 Stillwater Dr
Prescott, AZ 86305-7164
Phone: (928) 442-0005
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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 LPT-30144 (AZ)

Record details

NPI number1235616582
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 19, 2018
Last updated in NPPESJuly 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Therapy Works Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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