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

Jordan David Priebe, PTA

Individual provider Physical Therapy Assistant · NPI 1457730335

Jordan David Priebe, PTA is a Physical Therapy Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone: (863) 859-1446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 25673 (FL)

Record details

NPI number1457730335
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 25, 2015
Last updated in NPPESMay 25, 2015
Mailing address16744 Cagan Crossings Blvd, Apt. 7, Clermont, FL 34714-4886

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