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JORDAN THEROUX
NPI 1679403273
Physician Assistant in Manchester, CT

Active since May 23, 2026
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Theroux NPPES

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

JORDAN THEROUX (NPI 1679403273) is an individual physician assistant in Manchester, Connecticut and active in the NPI registry since May 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679403273
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN THEROUX
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address9 Rachel Ann CtProspect, CT 06712-1570
Phone(860) 646-1222
Sole ProprietorNo
Enumeration DateMay 23, 2026
NPPES CertifiedMay 23, 2026
✔ NPI 1679403273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
71 HAYNES ST, Manchester, CT 06040
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Secondary Practice Locations 2

Location 1435 Lewis AveMeriden, CT 06451-2101 · Phone (203) 694-8200
Location 281 Meriden AveSouthington, CT 06489-3268 · Phone (860) 276-5000

Other Providers at the Same Location NPPES 20

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

DR. FRANKLIN GEORGE GILLIG M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
MRS. CORY BERNARD LCSW
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DR. DINESH S. SHAH M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DANIELLE KIREI PA
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
RAJITHA REDDY
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ALLANA R LEE D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
ANDREA LYNCH PA-C
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-6595
JAMSHID A MARVASTI, M.D. P.C.
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040
Capitol Planning Region (860) 643-1166

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 Theroux's NPI number?

The NPI number for Jordan Theroux is 1679403273. It was assigned to this individual provider in the NPPES registry on May 23, 2026.

Where is Jordan Theroux located?

Jordan Theroux practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Jordan Theroux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jordan Theroux was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.