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

Individual provider Physical Therapy Assistant · NPI 1891156170

Jordan Tilley is a Physical Therapy Assistant in Columbus, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
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Practice location Address checks out

310 Emerald Dr
Columbus, MS 39702-5526
Phone: (662) 315-4174
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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 PTA5157 (MS)

Record details

NPI number1891156170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2016
Last updated in NPPESMarch 14, 2016
Mailing address5622 County Road 30, Ethelsville, AL 35461-3301

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