MR. BOYD KENNETH JORDAN (P.T.) – Physical Therapist, NPI 1164401667

MR. BOYD KENNETH JORDAN (P.T.) is a healthcare provider. based in Sedro woolley, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT00006044 (WA). The NPI Number for MR. BOYD KENNETH JORDAN (P.T.) is 1164401667

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. BOYD KENNETH JORDAN (P.T.)
NPI
1164401667
Phone
(360) 854-9924
Address
108 N TOWNSHIP ST
Enumeration Date
12 January 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608549924
Graduation Year
1993 (33 years ago)
PAC ID
4688855133
Professional Enrollment ID
I20110216001151
Address ID
WA982841232SE108XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MR. BOYD KENNETH JORDAN (P.T.)

  • 108, North Township Street, Sedro-Woolley, Skagit County, Washington, 98284, United States

    SUITE F

    SEDRO WOOLLEY, WA 982841232

    Phone: (360) 854-9924

    Fax: (360) 854-9743

    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: 2011-02-16

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
I20110216001151IPhysical Therapist In Private PracticeWATBD

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 minutes1,878105$0
97140Therapy procedure using manual technique, each 15 minutes903100$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care59881$0
97035Application of ultrasound, each 15 minutes17861$0
97530Therapy procedure using functional activities12832$0
View full utilization report →

Insurance plans in this area (ZIP 98284)

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Provider's Procedures

MR. BOYD KENNETH JORDAN (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3067125

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Frequently asked questions

What is the registry number for MR. BOYD KENNETH JORDAN (P.T.)?
The registry entry for MR. BOYD KENNETH JORDAN (P.T.) shows NPI 1164401667.
Is MR. BOYD KENNETH JORDAN (P.T.)'s NPI status active today?
Active status means MR. BOYD KENNETH JORDAN (P.T.)'s NPI record is not deactivated in the public file.
What services align with MR. BOYD KENNETH JORDAN (P.T.)'s listing?
MR. BOYD KENNETH JORDAN (P.T.)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BOYD KENNETH JORDAN (P.T.)?
MR. BOYD KENNETH JORDAN (P.T.) is associated with Sedro Woolley, Washington in the same public data insurers reference.
Can I export MR. BOYD KENNETH JORDAN (P.T.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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