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

Mr. Jordan Joseph Bonfiglio, DPT

Individual provider Physical Therapist · NPI 1396361655

Mr. Jordan Joseph Bonfiglio, DPT is a Physical Therapist in Private Practice in Hammond, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2020, 6 years ago. Practices with The Movement Science Center, a 13-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2020
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

1100 C M Fagan Dr Ste 103
Hammond, LA 70403-5963
Phone: (985) 542-6664
Fax: (985) 542-6428
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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 10630 (LA)

Record details

NPI number1396361655
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2020 (6 years in practice)
Group practice The Movement Science Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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