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

Jordan A Earlywine, DPT

Individual provider Physical Therapist · NPI 1710522131

Jordan A Earlywine, DPT is a Physical Therapist in Private Practice in Crestview Hills, Kentucky. Qualified in 2019, 7 years ago. Practices with Mayfield Clinic Inc, a 75-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

540 Centre View Blvd
Crestview Hills, KY 41017-3400
Phone: (513) 221-1100
Fax: (859) 341-3913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007821 (KY)

Record details

NPI number1710522131
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mayfield Clinic Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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