Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEITH JORDAN PT, DPT
NPI 1811867849
Physical Therapist in Omaha, NE

Active since November 05, 2025Accepts Medicare Assignment
17500 BURKE ST, OMAHA, NE 68118(402) 401-3900 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Dec 18, 2025, Nov 5, 2025 (3 updates tracked since 2025).

About Keith Jordan Pt, Dpt NPPES

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

KEITH JORDAN PT, DPT (NPI 1811867849) is an individual physical therapist in Omaha, Nebraska, licensed in Texas (1394217) and active in the NPI registry since November 2025. She maintains a secondary practice location in Elkhorn and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811867849
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKEITH JORDANCredential: PT, DPT
Location Address17500 BURKE STOmaha, NE 68118-2244
Mailing Address5401 South StLincoln, NE 68506-2150 · (402) 413-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 5, 2025
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1811867849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in TX · 1394217✔ Licensed in NE · CP050161T
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
17500 BURKE ST, Omaha, NE 68118

Other Names 1

Former Name (1)Keith Ramos Mausisa

Secondary Practice Location 1

Location 120275 Hopper StElkhorn, NE 68022-2339 · Phone (402) 289-2572

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Jordan Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981185881
PECOS Enrollment IDI20260227001094

Medicare Billing Reassignment

Medicare enrollment records show Keith Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
24014 W RENWICK RD UNIT 206
Plainfield, IL 60544
  • Reassigned Medicare billing, Nebraska enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
17500 BURKE ST
OMAHA, NE 68118
Physical Therapist
17500 BURKE ST
OMAHA, NE 68118
Occupational Therapist
17500 BURKE ST
OMAHA, NE 68118
Occupational Therapist
17500 BURKE ST
OMAHA, NE 68118
Physical Therapist
17500 BURKE ST
OMAHA, NE 68118
Speech-Language Pathologist
17500 BURKE ST
OMAHA, NE 68118
Occupational Therapist
17500 BURKE ST
OMAHA, NE 68118
Physical Therapist
17500 BURKE ST
OMAHA, NE 68118

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 Keith Jordan's NPI number?

The NPI number for Keith Jordan is 1811867849. It was assigned to this individual provider in the NPPES registry on November 5, 2025. The provider is also known as Keith Ramos Mausisa.

Where is Keith Jordan located?

Keith Jordan practices at 17500 Burke St, Omaha, NE 68118. The listed phone number is (402) 401-3900.

What is Keith Jordan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Keith Jordan enrolled in Medicare?

Yes. Keith Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keith Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Jordan reassigns Medicare benefits to Dpt Holdings, LLC (Plainfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Jordan was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.