JORDAN ALEXA JACKSON PT, DPT, SCS
NPI 1700579968
Physical Therapist - Sports in Kansas City, KS

NPI Status: Active since June 01, 2023

Contact Information

1801 N 98TH ST
KANSAS CITY, KS
ZIP 66111
Phone: (913) 264-3000
Fax: (816) 302-9939

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  • Individual
  • Female
  • Physical Therapist
  • Sports

About JORDAN JACKSON

This page provides the complete NPI Profile along with additional information for Jordan Jackson, a provider established in Kansas City, Kansas with a medical specialization in Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1700579968 assigned on June 2023. The practitioner's primary taxonomy code is 2251S0007X with license number 11-07296 (KS). The provider is registered as an individual and her NPI record was last updated one year ago. Jordan Jackson operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1700579968
Provider Name
JORDAN ALEXA JACKSON PT, DPT, SCS
Gender
Female
Entity Type
Individual
Location Address
1801 N 98TH ST KANSAS CITY, KS 66111
Location Phone
(913) 264-3000
Location Fax
(816) 302-9939
Mailing Address
2401 GILLHAM RD KANSAS CITY, MO 64108
Mailing Phone
(816) 701-5200
Mailing Fax
(816) 302-9939
Is Sole Proprietor?
Yes
Enumeration Date
06-01-2023
Last Update Date
09-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Sports

Taxonomy Code
2251S0007X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
11-07296
License State
KS
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700579968
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270010718912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 0 + 7 + 1 + 8 + 9 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1700579968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

REBECA WISEMAN LSCSW

Social Worker

(Clinical)

1801 N 98TH ST
KANSAS CITY, KS
ZIP 66111

(913) 264-3000

NICHOLAS DEAN WEDEL DPT

Physical Therapist

1801 N 98TH ST
KANSAS CITY, KS
ZIP 66111

(913) 264-3000

JULIANNE MARIE PERRINI PT, DPT

Physical Therapist

1801 N 98TH ST
KANSAS CITY, KS
ZIP 66111

(913) 264-3000

TIMOTHY RAY RUSH II DPT

Physical Therapist

1801 N 98TH ST
KANSAS CITY, KS
ZIP 66111

(913) 264-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700579968, enumerated as an "individual" on June 01, 2023.

The provider is located at 1801 N 98TH ST KANSAS CITY, KS 66111 and the phone number is (913) 264-3000.

Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.