JORDAN PROFITT MA, ATC/L
NPI 1568845139
Specialist in Grand Rapids, MI

Q: What is Jordan Profitt's NPI number?

The NPI number for Jordan Profitt is 1568845139. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Q: What is Jordan Profitt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Profitt was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 01, 2015

607 DEWEY AVE NW STE 300, GRAND RAPIDS, MI 49504(253) 332-3398 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Profitt Ma, Atc/l NPPES

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

JORDAN PROFITT MA, ATC/L (NPI 1568845139) is an individual specialist in Grand Rapids, Michigan, licensed in Washington (A160577346) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1568845139

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJORDAN PROFITTCredential: MA, ATC/L

Location Address607 DEWEY AVE NW STE 300Grand Rapids, MI 49504-7335

Mailing Address17927 26th Street Ct ELake Tapps, WA 98391-9408 · (253) 332-3398

Phone(253) 332-3398

Sole ProprietorYes

Enumeration DateJuly 1, 2015

✔ NPI 1568845139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · A160577346

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

607 DEWEY AVE NW STE 300, Grand Rapids, MI 49504

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Other Providers at the Same Location NPPES 2

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

MS. CHRISTINA T KOLIAS OTR

Occupational Therapist

607 DEWEY AVE NW STE 300
GRAND RAPIDS, MI 49504

Kent County (616) 356-5000

MS. VIRGINIA ELIZABETH POST PT

Physical Therapist

607 DEWEY AVE NW STE 300
GRAND RAPIDS, MI 49504

Kent County (616) 356-5000

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 Profitt's NPI number?

The NPI number for Jordan Profitt is 1568845139. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Jordan Profitt located?

Jordan Profitt practices at 607 Dewey Ave NW Ste 300, Grand Rapids, MI 49504. The listed phone number is (253) 332-3398.

What is Jordan Profitt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jordan Profitt was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.