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

Jordan Wing, DPT

Individual provider Physical Therapist · NPI 1114806015

Jordan Wing, DPT is a Physical Therapist in Private Practice in Beverly, Massachusetts. Qualified in 2024, 2 years ago. Practices with Soul Physical Therapy LLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025
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

7 Reservoir Rd
Beverly, MA 01915-5501
Phone: (978) 524-0333
Fax: (978) 524-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Elm St, Danvers, MA 01923-2824 — (978) 304-0536

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL27816 (MA)

Record details

NPI number1114806015
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address7 Reservoir Rd, Beverly, MA 01915-5501

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 Soul Physical Therapy Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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