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ANTHONY EUGENE JORDAN PTA
NPI 1215634159
Physical Therapist - Geriatrics in Coachella, CA

Active since February 10, 2023
52115 PROSECCO WAY, COACHELLA, CA 92236(760) 777-2140 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Eugene Jordan Pta NPPES

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

ANTHONY EUGENE JORDAN PTA (NPI 1215634159) is an individual geriatrics provider in Coachella, California, licensed in California (3854) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1215634159
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameANTHONY EUGENE JORDANCredential: PTA
Location Address52115 PROSECCO WAYCoachella, CA 92236-8511
Mailing Address52115 Prosecco WayCoachella, CA 92236-8511 · (760) 777-2140
Phone(760) 777-2140
Sole ProprietorYes
Enumeration DateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
✔ NPI 1215634159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in CA · 3854
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
52115 PROSECCO WAY, Coachella, CA 92236
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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 Anthony Jordan's NPI number?

The NPI number for Anthony Jordan is 1215634159. It was assigned to this individual provider in the NPPES registry on February 10, 2023.

Where is Anthony Jordan located?

Anthony Jordan practices at 52115 Prosecco Way, Coachella, CA 92236. The listed phone number is (760) 777-2140.

What is Anthony Jordan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Anthony Jordan was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.