JORDAN KFOURY – Physical Therapist, NPI 1134616147

JORDAN KFOURY is a healthcare provider. based in Plymouth, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2305211585 (VA). The NPI Number for JORDAN KFOURY is 1134616147

Main info

Female
Sole Proprietor
10 Years Of Experience
Name
JORDAN KFOURY
NPI
1134616147
Phone
(866) 991-0900
Address
801 W ANN ARBOR TRL STE 220
Enumeration Date
16 April 2018
Last Update Date
16 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033491030
Graduation Year
2016 (10 years ago)
PAC ID
7315297439
Group Practice PAC ID
6406286533
Professional Enrollment ID
I20180911000146
Address ID
VA220661872GR10135RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for JORDAN KFOURY

  • 220, West Ann Arbor Trail, Plymouth, Wayne County, Michigan, 48170, United States

    PLYMOUTH, MI 481706224

    Phone: (866) 991-0900

    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: 2018-09-11

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
I20180911000146IPhysical Therapist In Private PracticeDCTBD

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 minutes18226$0
97140Therapy procedure using manual technique, each 15 minutes9924$0
97150Therapy procedure in a group setting3013$0
View full utilization report →

Insurance plans in this area (ZIP 48170)

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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: 6406286533View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What NPI should I save for JORDAN KFOURY?
Save NPI 1134616147 if you need a stable reference for JORDAN KFOURY.
Is JORDAN KFOURY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JORDAN KFOURY?
The page reflects Physical Therapist for JORDAN KFOURY. Clinical services aligned with this taxonomy classification.
What location metadata exists for JORDAN KFOURY?
The page summarizes Plymouth, Michigan for JORDAN KFOURY; expand the address list for detail.
How can I contact JORDAN KFOURY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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