| Kelly Ford Jordan, DPT | |
|
4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 | |
| (601) 336-5236 | |
| (601) 255-5458 |
| Full Name | Kelly Ford Jordan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4700 Hardy St Ste J1, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124788559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTPT6045 (Mississippi) | Primary |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ford Jordan, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 206-4158 | Kelly Ford Jordan, DPT 4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 Ph: (601) 336-5236 |
Southern Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Willow Bend Dr, Hattiesburg, MS 39402 Phone: 601-336-8287 | |
Nicholas Walker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-264-8828 Fax: 601-607-1377 | |
Jeremy Jayrell Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-264-8828 Fax: 601-607-1377 | |
Mr. Douglas Earl Peterman, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782 | |
James R Burns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Medical Park Fl 1, Hattiesburg, MS 39401 Phone: 601-268-5757 Fax: 601-579-5220 | |
Katherine Anne Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6156 Highway 98, Suite 70, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782 | |
Zachary Bruce Kulzer, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7148 Highway 98 West, Suite 102, Hattiesburg, MS 39402 Phone: 601-261-1550 Fax: 601-579-5240 |