Jordan Kimball
NPI 1417696535 · Physical Therapist · Fort Mill, SC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Kimball is a Physical Therapist provider in Fort Mill, SC (NPI 1417696535).
Provider details
- NPI number
- 1417696535
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 114750 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,682 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 708 | $30 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 449 | $25 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 252 | $19 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 249 | $21 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 24 | $94 |
Typical Medicare-allowed amounts for these services range $19–$94 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 3485 Windsor AveDubuque, IA 52001-1329Phone: (563) 557-7180
- 2100 N Davidson St Ste CCharlotte, NC 28205-1828Phone: (980) 556-7780
Registry dates
- Enumerated
- 2022-05-27
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Jordan Kimball's NPI number?
- Jordan Kimball's National Provider Identifier (NPI) is 1417696535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Kimball's specialty?
- Jordan Kimball is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jordan Kimball located?
- Jordan Kimball's practice location on file with NPPES is 130 Crisanto Ave Ste a, Fort Mill, SC 29715-6272.
- What is Jordan Kimball's phone number?
- The practice phone number listed in the NPPES registry for Jordan Kimball is (803) 746-4655.
- Does Jordan Kimball accept Medicare?
- Jordan Kimball is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Kimball's NPI active?
- Yes — Jordan Kimball's NPI (1417696535) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.