JORDAN THERESA MANSFIELD (DPT) – Physical Therapist, NPI 1023483526

JORDAN THERESA MANSFIELD (DPT) is a healthcare provider. based in Eaton rapids, Michigan. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 5501017278 (MI). The NPI Number for JORDAN THERESA MANSFIELD (DPT) is 1023483526

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN THERESA MANSFIELD (DPT)
NPI
1023483526
Phone
(517) 781-4999
Address
1415 S MAIN ST STE B
Enumeration Date
9 December 2015
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177814999
Graduation Year
2015 (11 years ago)
PAC ID
1759686264
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20160222001236
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for JORDAN THERESA MANSFIELD (DPT)

  • 1415 S MAIN ST STE B

    EATON RAPIDS, MI 488271959

    Phone: (517) 781-4999

    Fax: (517) 663-2506

    Type: Location

  • 600 OAKMONT LN STE 600C

    WESTMONT, IL 605595548

    Phone: (630) 575-1980

    Fax: (630) 928-5080

    Type: Mailing

  • 65 E WADSWORTH PARK DR STE 230

    DRAPER, UT 840208096

    Phone: (385) 308-8034

    Type: Location

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: 2016-02-22

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
I20160222001236IPhysical Therapist In Private PracticeMITBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44655$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39349$0
97530Therapy procedure using functional activities28746$0
97140Therapy procedure using manual technique, each 15 minutes11729$0
97162Evaluation for physical therapy, typically 30 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 48827)

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Provider's Procedures

JORDAN THERESA MANSFIELD (DPT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44924
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes8719

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: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How do payers reference JORDAN THERESA MANSFIELD (DPT)?
For JORDAN THERESA MANSFIELD (DPT), use NPI 1023483526 as the unique 10-digit identifier.
Is there an active status for JORDAN THERESA MANSFIELD (DPT)?
For scheduling context, JORDAN THERESA MANSFIELD (DPT) is shown as active in the registry.
What kind of doctor is JORDAN THERESA MANSFIELD (DPT)?
JORDAN THERESA MANSFIELD (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JORDAN THERESA MANSFIELD (DPT)?
Directory geography for JORDAN THERESA MANSFIELD (DPT) centers on Eaton Rapids, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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