JORDAN MCPHERON (DPT) – Physical Therapist, NPI 1073937389

JORDAN MCPHERON (DPT) is a healthcare provider. based in Atlantic, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for JORDAN MCPHERON (DPT) is 1073937389

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MCPHERON (DPT)
NPI
1073937389
Phone
(712) 243-7564
Address
1501 E 10TH ST
Enumeration Date
6 February 2014
Last Update Date
6 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152822200
Graduation Year
2013 (13 years ago)
PAC ID
1759764921
Group Practice PAC ID
3678466166
Professional Enrollment ID
I20220822000183
Address ID
IA503141548DE1801XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for JORDAN MCPHERON (DPT)

  • 1501 E 10TH ST

    REHABILITATION SERVICES

    ATLANTIC, IA 500221936

    Phone: (712) 243-7564

    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: 2022-08-22

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
I20220822000183IPhysical Therapist In Private PracticeIATBD

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 50022)

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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: 3678466166View full group profile
NameSpecialtyState
Internal MedicineIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Emergency MedicineIA
Family PracticeIA
-IA
-IA
O P T O M E T R YIA
-IA
O P T O M E T R YIA
-IA

Reviews

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Frequently asked questions

What is JORDAN MCPHERON (DPT)'s NPI number?
JORDAN MCPHERON (DPT)'s NPI is 1073937389 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JORDAN MCPHERON (DPT)?
You should see JORDAN MCPHERON (DPT) as active in CMS-hosted NPPES data.
What area of care is associated with JORDAN MCPHERON (DPT)?
JORDAN MCPHERON (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JORDAN MCPHERON (DPT) located near Atlantic?
JORDAN MCPHERON (DPT) currently maps to Atlantic, Iowa in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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