Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDA MAE DIASANTA JORDAN, RPT
ActiveFREDA MAE DIASANTA JORDAN, RPT is a Physical Therapy Assistant healthcare provider located in SILVIS, Illinois. NPI 1053696476 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SILVIS, IL
Registration Details
- NPI Number
- 1053696476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2011 (14.682517818864 yrs)
- Last Updated
- Dec 5, 2014
- Licenses
-
032857 (NY)070018721 (IL)
Practice Information
- Address
-
1900 10TH STSILVIS, IL, 612821909Browse IL providers · Browse ZIP 61282
- Phone
- 3092781537
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SILVIS, IL
| Name | Credential | NPI |
|---|---|---|
| MISTI L. FERGUSON | PT | 1619969748 |
| MARK D GRATTON | P.T. | 1154378651 |
| RACHEL L EHLERT | PT | 1184671588 |
| HOLLY S WILKINSON | P.T. | 1376581447 |
| MR. MARC A PEIRCE | PT | 1003826975 |
| MRS. MARGARET E CARTON | PT | 1023188380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.