JORDAN SCOTT OLLENBERGER (DPT, PT) – Physical Therapist, NPI 1336628536

JORDAN SCOTT OLLENBERGER (DPT, PT) is a healthcare provider. based in Troy, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT. The NPI Number for JORDAN SCOTT OLLENBERGER (DPT, PT) is 1336628536

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN SCOTT OLLENBERGER (DPT, PT)
NPI
1336628536
Phone
(248) 353-1234
Address
4600 INVESTMENT DR STE 190
Enumeration Date
8 August 2018
Last Update Date
8 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483531234
Graduation Year
2018 (8 years ago)
PAC ID
0244580165
Group Practice PAC ID
7012920416
Professional Enrollment ID
I20180913001566
Address ID
MI480986365TR4600XDRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for JORDAN SCOTT OLLENBERGER (DPT, PT)

  • Investment Drive, Troy, Oakland County, Michigan, 48098, United States

    TROY, MI 480986365

    Phone: (248) 353-1234

    Type: Location

  • 29255 NORTHWESTERN HWY STE 300

    SOUTHFIELD, MI 480345742

    Phone: (248) 353-1234

    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: 2018-09-13

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
I20180913001566IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33522$0
97530Therapy procedure using functional activities24519$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21518$0
97140Therapy procedure using manual technique, each 15 minutes5915$0
97161Evaluation for physical therapy, typically 20 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48098)

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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: 7012920416View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do I look up JORDAN SCOTT OLLENBERGER (DPT, PT) by NPI?
Use NPI 1336628536 when you need to reference JORDAN SCOTT OLLENBERGER (DPT, PT) in forms, claims, or directories.
Does this profile mean JORDAN SCOTT OLLENBERGER (DPT, PT) is currently active?
Yes — JORDAN SCOTT OLLENBERGER (DPT, PT) appears active in the national provider directory.
What does JORDAN SCOTT OLLENBERGER (DPT, PT) treat or focus on?
Patients typically see JORDAN SCOTT OLLENBERGER (DPT, PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN SCOTT OLLENBERGER (DPT, PT)?
The snapshot lists Troy, Michigan for JORDAN SCOTT OLLENBERGER (DPT, PT); download NPPES for the complete set.
How can I contact JORDAN SCOTT OLLENBERGER (DPT, PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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