JAMISON FRANKLIN JORDAN – Physical Therapist, NPI 1164056669

JAMISON FRANKLIN JORDAN is a healthcare provider. based in Vacaville, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 298058 (CA). The NPI Number for JAMISON FRANKLIN JORDAN is 1164056669

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JAMISON FRANKLIN JORDAN
NPI
1164056669
Phone
Not provided
Address
1 QUALITY DR
Enumeration Date
24 February 2020
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105463461
Graduation Year
2019 (7 years ago)
PAC ID
4880087881
Group Practice PAC ID
7517014251
Professional Enrollment ID
I20220216000891
Address ID
CA902666876MA400XXBLVD402

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JAMISON FRANKLIN JORDAN

  • 1 QUALITY DR

    VACAVILLE, CA 956889494

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220216000891IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95688)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517014251View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA
Physical Therapist In Private PracticeCA
Family Practice, Sports MedicineCA
C H I R O P R A C T I CCA
Orthopedic SurgeryCA
Physical Therapist In Private PracticeCA
P O D I A T R YCA
Occupational Therapist In Private PracticeCA
C H I R O P R A C T I CCA
Sports Medicine, Orthopedic SurgeryMN

Reviews

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Frequently asked questions

How do payers reference JAMISON FRANKLIN JORDAN?
For JAMISON FRANKLIN JORDAN, use NPI 1164056669 as the unique 10-digit identifier.
Is there an active status for JAMISON FRANKLIN JORDAN?
For scheduling context, JAMISON FRANKLIN JORDAN is shown as active in the registry.
What clinical focus is listed for JAMISON FRANKLIN JORDAN?
At a glance, JAMISON FRANKLIN JORDAN is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is JAMISON FRANKLIN JORDAN registered?
Use Vacaville, California as the headline location for JAMISON FRANKLIN JORDAN here.
When was this NPI issued?
Enumeration for JAMISON FRANKLIN JORDAN is noted as February 24, 2020 where the registry provides it.

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