IndividualActive
Michael Jordan
NPI 1093979171 · Physical Therapy Assistant · Medford, OR
Provider details
- NPI number
- 1093979171
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8217 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
835 Crater Lake Ave
Medford, OR 97504-6505
Phone: (541) 773-7717
Street-level locationGet directions
Mailing address
835 Crater Lake Ave
Medford, OR 97504-6505
Registry dates
- Enumerated
- 2008-07-17
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.