STEPHANIE JORDAN – Counselor, NPI 1891943767

STEPHANIE JORDAN is a healthcare provider. based in Tarzana, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 10621 (CA). The NPI Number for STEPHANIE JORDAN is 1891943767

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE JORDAN
NPI
1891943767
Phone
(818) 996-4077
Address
18386 VENTURA BLVD
Enumeration Date
4 September 2008
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6612841984
Graduation Year
2009 (17 years ago)
PAC ID
8325423155
Group Practice PAC ID
0244294163
Professional Enrollment ID
I20220915000654
Address ID
CA913812281ST25129RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

1,239 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for STEPHANIE JORDAN

  • 18386 VENTURA BLVD

    TARZANA, CA 913564219

    Phone: (818) 996-4077

    Fax: (818) 996-4069

    Type: Mailing

  • 425 DIVISADERO ST STE 301

    SAN FRANCISCO, CA 941172242

    Phone: (415) 551-0975

    Type: Mailing

  • 29235 SHERIDAN RD

    CASTAIC, CA 913844629

    Phone: (661) 284-1984

    Type: Mailing

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: 2022-09-15

PECOS data refreshed: 2026-06-15

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
I20220915000654IOccupational 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes897116$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes875115$0
97530Therapy procedure using functional activities874115$0
97535Training for self-care or home management, each 15 minutes864115$0
29240Placement of strapping to shoulder13826$0
View full utilization report →

Insurance plans in this area (ZIP 91356)

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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: 0244294163View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
-CA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do I look up STEPHANIE JORDAN by NPI?
Use NPI 1891943767 when you need to reference STEPHANIE JORDAN in forms, claims, or directories.
Is STEPHANIE JORDAN's NPI currently valid?
The extract we use shows STEPHANIE JORDAN as active.
What kind of provider is STEPHANIE JORDAN?
The page reflects Counselor for STEPHANIE JORDAN. Clinical services aligned with this taxonomy classification.
What location shows for STEPHANIE JORDAN?
We surface Tarzana, California for STEPHANIE JORDAN based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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