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

Jordan Landry

Individual provider Physical Therapist · NPI 1164290607

Jordan Landry is a Physical Therapist in Private Practice in Davenport, Iowa. Qualified in 2023, 3 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
3
Licensed in
IA, IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4730 Elmore Ave Ste 1
Davenport, IA 52807-3658
Phone: (563) 362-3709
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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 122037 (IA)
Physical Therapist Taxonomy 225100000X · Licence 070027759 (IL)

Record details

NPI number1164290607
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2023
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Davenport