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

Jordan Radebaugh, PT, DPT

Individual provider Physical Therapist · NPI 1881493641

Jordan Radebaugh, PT, DPT is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2024, 2 years ago. Practices with Activcare Physical Therapy, LLC, a 127-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4109 Wake Forest Rd Ste 200
Raleigh, NC 27609-6262
Phone: (919) 322-0042
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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 P23852 (NC)

Record details

NPI number1881493641
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

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 Activcare Physical Therapy, Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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