KELLY FORD JORDAN DPT
NPI 1124788559
Physical Therapist in Hattiesburg, MS

Active since December 27, 2021
4700 HARDY ST STE J1, HATTIESBURG, MS 39402(601) 336-5236(601) 255-5458 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Ford Jordan Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY FORD JORDAN DPT (NPI 1124788559) is an individual physical therapist in Hattiesburg, Mississippi, licensed in Mississippi (PTPT6045) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1124788559
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY FORD JORDANCredential: DPT
Location Address4700 HARDY ST STE J1Hattiesburg, MS 39402-1300
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 206-4158 · Fax (717) 773-4654
Fax(601) 255-5458
Sole ProprietorNo
Enumeration DateDecember 27, 2021
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1124788559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MS · PTPT6045
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4700 HARDY ST STE J1, Hattiesburg, MS 39402

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ford Jordan Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelly Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
110 N WALMART DR, SUITE F
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 324 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Occupational Therapist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Jordan's NPI number?

The NPI number for Kelly Jordan is 1124788559. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Kelly Jordan located?

Kelly Jordan practices at 4700 Hardy St Ste J1, Hattiesburg, MS 39402. The listed phone number is (601) 336-5236.

What is Kelly Jordan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Jordan enrolled in Medicare?

Yes. Kelly Jordan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Jordan reassigns Medicare benefits to Drayer Physical Therapy Mississippi LLC (Louisville, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Jordan accept?

Health plans from Molina Healthcare list Kelly Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Jordan was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.