JORDAN KIMBALL
NPI 1417696535
Physical Therapist in Fort Mill, SC

Active since May 27, 2022Accepts Medicare Assignment
100/100
CMS Quality Rating
130 CRISANTO AVE STE A, FORT MILL, SC 29715(803) 746-4655 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2024, May 27, 2022 (2 updates tracked since 2022).

About Jordan Kimball NPPES

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

JORDAN KIMBALL (NPI 1417696535) is an individual physical therapist in Fort Mill, South Carolina, licensed in South Carolina (12276) and active in the NPI registry since May 2022. She maintains 2 additional practice locations and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417696535
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJORDAN KIMBALL
Location Address130 CRISANTO AVE STE AFort Mill, SC 29715-6272
Mailing AddressPo Box 412066Boston, MA 02241-2313
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 27, 2022
Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
NPI 1417696535 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 SC · 12276 Licensed in IA · 114750 Licensed in NC · P22943
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.
130 CRISANTO AVE STE A, Fort Mill, SC 29715

Secondary Practice Locations 2

Location 13485 Windsor AveDubuque, IA 52001-1329 · Phone (563) 557-7180
Location 22100 N Davidson St Ste CCharlotte, NC 28205-1828 · Phone (980) 556-7780

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Kimball 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 ID1557738572
PECOS Enrollment IDI20230526001953

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
708 services63 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
449 services53 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
252 services42 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
249 services51 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29715 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Occupational Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Physical Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Occupational Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Physical Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Physical Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Physical Medicine & Rehabilitation
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Physical Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715
Physical Therapist
130 CRISANTO AVE STE A
FORT MILL, SC 29715

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 Kimball's NPI number?

The NPI number for Jordan Kimball is 1417696535. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Jordan Kimball located?

Jordan Kimball practices at 130 Crisanto Ave Ste A, Fort Mill, SC 29715. The listed phone number is (803) 746-4655.

What is Jordan Kimball's specialty?

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

Is Jordan Kimball enrolled in Medicare?

Yes. Jordan Kimball 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.

What insurance does Jordan Kimball accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Jordan Kimball 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 Kimball was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.