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

Jordan Ektefaie, PT

Individual provider Physical Therapist · NPI 1164988119

Jordan Ektefaie, PT is a Physical Therapist in Private Practice in Northridge, California. Qualified in 2018, 8 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11225 Tampa Ave
Northridge, CA 91326-1610
Phone: (818) 363-9970
Fax: (818) 363-9980
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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 296251 (CA)

Record details

NPI number1164988119
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESFebruary 14, 2019

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 California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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