JORDAN ALEXA JACKSON PT DPT SCS NPI 1700579968

NPI Information

  • NPI: 1700579968
  • Provider Name: JORDAN ALEXA JACKSON, PT, DPT, SCS
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Individual
  • Address: 1801 N 98TH ST
    KANSAS CITY, KS
    ZIP 66111
  • Phone: (913) 264-3000

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NPI Details

Jordan Alexa Jackson, PT, DPT, SCS is a sports physical therapist in Kansas City, KS. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Jordan Alexa Jackson, PT, DPT, SCS NPI is 1700579968. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 N 98TH ST
KANSAS CITY, KS
ZIP 66111-869
Phone: (913) 264-3000
Fax: (816) 302-9939

The enumeration date for this NPI number is 6/1/2023 and was last updated on 9/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSports11-07296KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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