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

Jordan Bickham, DPT

Individual provider Physical Therapist · NPI 1154912681

Jordan Bickham, DPT is a Physical Therapist in Private Practice in Shelby Twp, Michigan. Qualified in 2020, 6 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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

13350 24 Mile Rd Ste 500
Shelby Twp, MI 48315-1827
Phone: (586) 997-7780
Fax: (586) 997-7781
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019944 (MI)

Record details

NPI number1154912681
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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