National Provider Identifier
Jordan Thompson, DPT
Jordan Thompson, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1942881446
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 16, 2021
- Last Updated
- April 16, 2021
Practice Location
- 2900 Delaware Ave
- Kenmore, NY 14217-2309
Phone: (716) 871-9883
Mailing Address
- 6354 Heritage PT N
- Lockport, NY 14094-6364
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1942881446
- Entity Type
- Individual
- Last Name
- Thompson
- First Name
- Jordan
- Credential
- DPT
- Mailing Street Address
- 6354 Heritage PT N
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-6364
- Mailing Country
- US
- Practice Street Address
- 2900 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2309
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Enumeration Date
- April 16, 2021
- Last Updated
- April 16, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)