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

Individual provider Physical Therapy Assistant · NPI 1962040519

Michelle Jordan, PHYSICALTHERAPYASS is a Physical Therapy Assistant in Utica, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

1676 Sunset Ave
Utica, NY 13502-5416
Phone: (315) 624-5400
Fax: (315) 624-5395
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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 009541 (NY)

Record details

NPI number1962040519
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPYASS
Sole proprietorNo
NPI enumeratedDecember 13, 2019
Last updated in NPPESDecember 13, 2019
Certification dateDecember 13, 2019

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