IndividualActive
Michael Jordan, DPT
NPI 1801318043 · Sports Physical Therapist · Alexandria, VA
Provider details
- NPI number
- 1801318043
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 070022222 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1308 Martha Custis Dr
Alexandria, VA 22302-2025
Phone: (574) 360-4996
Approximate (ZIP-level) locationGet directions
Mailing address
1308 Martha Custis Dr
Alexandria, VA 22302-2025
Additional practice locations (1)
- 500 N Kingsbury StChicago, IL 60654-5721Phone: (312) 527-5801Fax: (312) 644-4567
Registry dates
- Enumerated
- 2017-07-10
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.