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

Jordan M Mahan, PT

Individual provider Physical Therapist · NPI 1679253025

Jordan M Mahan, PT is a Physical Therapist in Private Practice in Cape Coral, Florida. Qualified in 2014, 12 years ago. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2023
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

530 SE 16th Pl
Cape Coral, FL 33990-1656
Phone: (239) 800-3814
Fax: (239) 800-3820
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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 29666 (FL)

Record details

NPI number1679253025
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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