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MICHAEL K JORDAN DPT
NPI 1801318043
Physical Therapist - Sports in Alexandria, VA

Active since July 10, 2017
1308 MARTHA CUSTIS DR, ALEXANDRIA, VA 22302(574) 360-4996 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Jul 10, 2017 (2 updates tracked since 2017).

About Michael K Jordan Dpt NPPES

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

MICHAEL K JORDAN DPT (NPI 1801318043) is an individual sports provider in Alexandria, Virginia, licensed in Virginia (2305211549) and active in the NPI registry since July 2017. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1801318043
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameMICHAEL K JORDANCredential: DPT
Location Address1308 MARTHA CUSTIS DRAlexandria, VA 22302-2025
Mailing Address1308 Martha Custis DrAlexandria, VA 22302-2025 · (574) 360-4996 · Fax (630) 575-7450
Phone(574) 360-4996
Sole ProprietorNo
Enumeration DateJuly 10, 2017
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1801318043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in VA · 2305211549
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 070022222 (IL)
1308 MARTHA CUSTIS DR, Alexandria, VA 22302
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Secondary Practice Location 1

Location 1500 N Kingsbury StChicago, IL 60654-5721 · Phone (312) 527-5801 ext. 278 · Fax (312) 644-4567

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 Michael Jordan's NPI number?

The NPI number for Michael Jordan is 1801318043. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Michael Jordan located?

Michael Jordan practices at 1308 Martha Custis Dr, Alexandria, VA 22302. The listed phone number is (574) 360-4996.

What is Michael Jordan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Michael Jordan was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.