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

Kelsie Jordan

Individual provider Physical Therapist · NPI 1043867575

Kelsie Jordan is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
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Practice location Address checks out

10215 SW Park Way Ste D
Portland, OR 97225-5036
Phone: (503) 292-3583
Fax: (503) 292-1022
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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 63428 (OR)

Record details

NPI number1043867575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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