IndividualActive
Jordan Jackson, PT, DPT, SCS
NPI 1700579968 · Sports Physical Therapist · Kansas City, KS
Provider details
- NPI number
- 1700579968
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, SCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11-07296 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1801 N 98th St
Kansas City, KS 66111-1869
Phone: (913) 264-3000
Fax: (816) 302-9939
Street-level locationGet directions
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Registry dates
- Enumerated
- 2023-06-01
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.