Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jordan Kimball

Individual provider Physical Therapist · NPI 1417696535

Jordan Kimball is registered under Physical Therapist in Private Practice in Fort Mill, South Carolina. Qualified in 2022, 4 years ago. Practices with Ivyrehab Focus, Inc, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa, North Carolina and South Carolina.

Years since qualifying
4
Licensed in
IA, NC, SC
In the registry since
2022
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

130 Crisanto Ave Ste A
Fort Mill, SC 29715-6272
Phone: (803) 746-4655
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 3485 Windsor Ave, Dubuque, IA 52001-1329 — (563) 557-7180
  • 2100 N Davidson St Ste C, Charlotte, NC 28205-1828 — (980) 556-7780

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12276 (SC)
Physical Therapist Taxonomy 225100000X · Licence 114750 (IA)
Physical Therapist Taxonomy 225100000X · Licence P22943 (NC)

Record details

NPI number1417696535
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2022
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Focus, Inc. — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients66
Services billed 1,700 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ivyrehab Focus, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 40 clinicians in the practice; 12 are shown here.

Other providers in Fort Mill