JORDAN VANDYKE
NPI 1841836533
Physical Therapist in Greenville, IL
About Jordan Vandyke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN VANDYKE (NPI 1841836533) is an individual physical therapist in Greenville, Illinois, licensed in Illinois (070024599) and active in the NPI registry since November 2019. He maintains a secondary practice location in Vandalia.
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Vandyke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Vandyke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63109
- Reassigned Medicare billing, Missouri 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
GREENVILLE, IL 62246
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 Vandyke's NPI number?
The NPI number for Jordan Vandyke is 1841836533. It was assigned to this individual provider in the NPPES registry on November 18, 2019.
Where is Jordan Vandyke located?
Jordan Vandyke practices at 200 Health Care Dr, Greenville, IL 62246. The listed phone number is (618) 664-2626.
What is Jordan Vandyke's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jordan Vandyke enrolled in Medicare?
Yes. Jordan Vandyke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Vandyke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Vandyke reassigns Medicare benefits to Jdv Physical Therapy LLC (Saint Louis, MO). 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 Jordan Vandyke'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 Jordan Vandyke was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.