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

Mr. Boyd Kenneth Jordan, PT

Individual provider Physical Therapist · NPI 1164401667

Mr. Boyd Kenneth Jordan, PT is a Physical Therapist in Private Practice in Sedro Woolley, Washington. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
33
Licensed in
WA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

108 N Township St Ste F
Sedro Woolley, WA 98284-1232
Phone: (360) 854-9924
Fax: (360) 854-9743
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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 PT00006044 (WA)

Record details

NPI number1164401667
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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