JORDAN LANDRY
NPI 1164290607
Physical Therapist in Davenport, IA

Active since December 14, 2023Accepts Medicare Assignment
4730 ELMORE AVE STE 1, DAVENPORT, IA 52807(563) 362-3709 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2025, Dec 14, 2023 (2 updates tracked since 2023).

About Jordan Landry NPPES

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

JORDAN LANDRY (NPI 1164290607) is an individual physical therapist in Davenport, Iowa, licensed in Iowa (122037) and active in the NPI registry since December 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1164290607
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJORDAN LANDRY
Location Address4730 ELMORE AVE STE 1Davenport, IA 52807-3658
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · Fax (309) 661-8801
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 14, 2023
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1164290607 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
Licenses✔ Licensed in IA · 122037✔ Licensed in IL · 070027759
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.
4730 ELMORE AVE STE 1, Davenport, IA 52807

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Landry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294263521
PECOS Enrollment IDI20250114001551, I20250328003143, I20260212003652

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Landry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
2122 YORK RD STE 300
Oak Brook, IL 60523
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • 179 clinicians in this Medicare group
Physical Therapist
600 CENTRAL AVE SE, SUITE D
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 58 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jordan Landry's NPI number?

The NPI number for Jordan Landry is 1164290607. It was assigned to this individual provider in the NPPES registry on December 14, 2023.

Where is Jordan Landry located?

Jordan Landry practices at 4730 Elmore Ave Ste 1, Davenport, IA 52807. The listed phone number is (563) 362-3709.

What is Jordan Landry's specialty?

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

Is Jordan Landry enrolled in Medicare?

Yes. Jordan Landry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jordan Landry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Landry reassigns Medicare benefits to 2 organizations: Athletico Ltd (Oak Brook, IL) and Physical Therapy At Dawn, LLC (Albuquerque, NM). Each 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 Jordan Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Landry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Jordan Landry 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 Jordan Landry was last updated on January 10, 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.