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

Jordan Leigh Carpenter, PT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215592647

Jordan Leigh Carpenter, PT is a Physical Therapist in Private Practice in Hattiesburg, Mississippi. Qualified in 2024, 2 years ago. Practices with Performance Therapy LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2019
Specialties on file
2
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

7 Rivers Dr Ste 10 & 20
Hattiesburg, MS 39401-1324
Phone: (601) 909-5006
Fax: (601) 909-5008
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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 PT7771 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215592647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESDecember 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Performance Therapy Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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