JORDAN KASPER (DPT) – Physical Therapist, NPI 1285326454

JORDAN KASPER (DPT) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 16330-24 (WI). The NPI Number for JORDAN KASPER (DPT) is 1285326454

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN KASPER (DPT)
NPI
1285326454
Phone
(920) 305-7910
Address
3303 W 20th Ave
Enumeration Date
24 May 2023
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202358966
Graduation Year
2023 (3 years ago)
PAC ID
1658734694
Group Practice PAC ID
9638155732
Professional Enrollment ID
I20230824000518
Address ID
WI549048051OS909XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for JORDAN KASPER (DPT)

  • 3303 W 20th Ave

    Oshkosh, WI 549049249

    Phone: (920) 305-7910

    Fax: (920) 305-7910

    Type: Location

  • 909 S WASHBURN ST

    OSHKOSH, WI 549048051

    Phone: (920) 235-8966

    Fax: (920) 235-1526

    Type: Mailing

  • 2105 E ENTERPRISE AVE STE 113

    APPLETON, WI 549137862

    Phone: (920) 991-2561

    Fax: (920) 991-2563

    Type: Mailing

  • 200 S OAKWOOD RD

    OSHKOSH, WI 549047900

    Phone: (920) 305-7910

    Fax: (920) 305-7910

    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: 2023-08-24

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
I20230824000518IPhysical Therapist In Private PracticeWITBD

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 minutes34711$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11212$0
View full utilization report →

Insurance plans in this area (ZIP 54904)

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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: 9638155732View full group profile
NameSpecialtyState
-WI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

How do I look up JORDAN KASPER (DPT) by NPI?
Use NPI 1285326454 when you need to reference JORDAN KASPER (DPT) in forms, claims, or directories.
Is JORDAN KASPER (DPT) active in the national directory?
JORDAN KASPER (DPT)'s public NPI profile is in an active state.
What does JORDAN KASPER (DPT) treat or focus on?
Patients typically see JORDAN KASPER (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JORDAN KASPER (DPT) practice in Wisconsin?
You will see Oshkosh, Wisconsin on file for JORDAN KASPER (DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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