DR. NOAH JAMES JORDAN (PT, DPT) – Physical Therapist, NPI 1245045012

DR. NOAH JAMES JORDAN (PT, DPT) is a healthcare provider. based in Hillsborough, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. J1-0015047 (DE). The NPI Number for DR. NOAH JAMES JORDAN (PT, DPT) is 1245045012

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. NOAH JAMES JORDAN (PT, DPT)
NPI
1245045012
Phone
(908) 420-2892
Address
19 LEWIS ST
Enumeration Date
10 February 2025
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3028318893
Graduation Year
2025 (1 year ago)
PAC ID
9234657263
Group Practice PAC ID
6204209034
Professional Enrollment ID
I20250514001001
Address ID
DE197131302NE540XXAVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for DR. NOAH JAMES JORDAN (PT, DPT)

  • 19 LEWIS ST

    HILLSBOROUGH, NJ 088441150

    Phone: (908) 420-2892

    Type: Mailing

  • 3110 STATE ROUTE 27 STE 1B

    KENDALL PARK, NJ 088241627

    Phone: (732) 712-2090

    Fax: (732) 712-2091

    Type: Location

  • 540 S College Ave Ste 160

    Newark, DE 197131302

    Phone: (302) 831-8893

    Fax: (302) 831-4468

    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: 2025-05-14

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
I20250514001001IPhysical Therapist In Private PracticeDETBD

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 08844)

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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: 6204209034View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeDC
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeVA
Nurse PractitionerDE
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeDE

Reviews

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Frequently asked questions

What NPI should I save for DR. NOAH JAMES JORDAN (PT, DPT)?
Save NPI 1245045012 if you need a stable reference for DR. NOAH JAMES JORDAN (PT, DPT).
Is DR. NOAH JAMES JORDAN (PT, DPT)'s NPI currently valid?
The extract we use shows DR. NOAH JAMES JORDAN (PT, DPT) as active.
What field does DR. NOAH JAMES JORDAN (PT, DPT) work in?
You can think of DR. NOAH JAMES JORDAN (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. NOAH JAMES JORDAN (PT, DPT)'s primary listing?
We display Hillsborough, New Jersey because that is what the record indicates for DR. NOAH JAMES JORDAN (PT, DPT).
Is DR. NOAH JAMES JORDAN (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1245045012. Always confirm identity and privileges with the practice and licensing boards.

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