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

Mariah Jordan, PTA

Individual provider Physical Therapy Assistant · NPI 1528734571

Mariah Jordan, PTA is a Physical Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021
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

4180 Sage Bluff Xing
Fort Wayne, IN 46804-2363
Phone: (260) 443-7300
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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 06006248A (IN)

Record details

NPI number1528734571
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address9921 Woodland Rdg W, Fort Wayne, IN 46804-4788

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