ALEXANDRA JORDAN (PT, DPT) – Physical Therapist, NPI 1891300745

ALEXANDRA JORDAN (PT, DPT) is a healthcare provider. based in Mukilteo, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT.61084907 (WA). The NPI Number for ALEXANDRA JORDAN (PT, DPT) is 1891300745

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA JORDAN (PT, DPT)
NPI
1891300745
Phone
(425) 493-6080
Address
4410 106TH ST SW
Enumeration Date
8 September 2020
Last Update Date
13 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3604245215
Graduation Year
2020 (6 years ago)
PAC ID
2163842642
Group Practice PAC ID
6204151152
Professional Enrollment ID
I20201022000861
Address ID
WA982732646MO1600XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for ALEXANDRA JORDAN (PT, DPT)

  • 4410 106TH ST SW

    MUKILTEO, WA 982754700

    Phone: (425) 493-6080

    Fax: (425) 339-4219

    Type: Location

  • 19815 112TH AVE NE APT F304

    BOTHELL, WA 980117725

    Phone: (425) 877-6953

    Type: Mailing

  • PO BOX 5127

    EVERETT, WA 982065127

    Phone: (142) 530-4843

    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: 2020-10-22

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
I20201022000861IPhysical 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 minutes634101$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12340$0
97140Therapy procedure using manual technique, each 15 minutes5022$0
97161Evaluation for physical therapy, typically 20 minutes4139$0
97530Therapy procedure using functional activities4121$0
View full utilization report →

Insurance plans in this area (ZIP 98275)

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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: 6204151152View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeME

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Frequently asked questions

What federal number belongs to ALEXANDRA JORDAN (PT, DPT)?
The federal identifier for ALEXANDRA JORDAN (PT, DPT) is NPI 1891300745.
Is ALEXANDRA JORDAN (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ALEXANDRA JORDAN (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ALEXANDRA JORDAN (PT, DPT). Clinical services aligned with this taxonomy classification.
Where does public data place ALEXANDRA JORDAN (PT, DPT)?
The snapshot lists Mukilteo, Washington for ALEXANDRA JORDAN (PT, DPT); download NPPES for the complete set.
What if Mukilteo, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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