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

Individual provider Physical Therapy Assistant · NPI 1407264104

Jordan Stockman, PTA is a Physical Therapy Assistant in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5185
Phone: (502) 412-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502002341 (MI)

Record details

NPI number1407264104
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 25, 2014
Last updated in NPPESJuly 25, 2014

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