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

Jordan Tivis, DPT

Individual provider Physical Therapist · NPI 1649804147

Jordan Tivis, DPT is a Physical Therapist in Keller, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

110 Pate Orr Rd S
Keller, TX 76248-1400
Phone: (817) 337-0162
Fax: (817) 337-0235
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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 1328258 (TX)

Record details

NPI number1649804147
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address110 Pate Orr Rd S, Keller, TX 76248-1400

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