1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Massage Therapist
  6. NPI Profile

KARIDA C JORDAN ATC, LMT
NPI 1669191219
Massage Therapist in Fairfax, VA

Active since August 25, 2022
3704 PROSPERITY AVE, FAIRFAX, VA 22031(571) 286-6292 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Karida C Jordan Atc, Lmt NPPES

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

KARIDA C JORDAN ATC, LMT (NPI 1669191219) is an individual massage therapist in Fairfax, Virginia, licensed in Virginia (0019015158) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1669191219
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKARIDA C JORDANCredential: ATC, LMT
Location Address3704 PROSPERITY AVEFairfax, VA 22031-3325
Mailing Address3704 Prosperity AveFairfax, VA 22031-3325 · (571) 286-6292
Phone(571) 286-6292
Sole ProprietorYes
Enumeration DateAugust 25, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1669191219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in VA · 0019015158
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3704 PROSPERITY AVE, Fairfax, VA 22031
Open in Google Maps ↗

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 Karida Jordan's NPI number?

The NPI number for Karida Jordan is 1669191219. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Karida Jordan located?

Karida Jordan practices at 3704 Prosperity Ave, Fairfax, VA 22031. The listed phone number is (571) 286-6292.

What is Karida Jordan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Karida Jordan was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.