Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN ALEXANDER BACA, PT, DPT
ActiveDR. JORDAN ALEXANDER BACA, PT, DPT is a Physical Therapy Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1831446228 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHARLESTON, SC
Registration Details
- NPI Number
- 1831446228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2012 (13.987126123651 yrs)
- Last Updated
- Sep 30, 2019
- License
-
6772 (SC)
Practice Information
- Address
-
915 FOLLY RD STE JCHARLESTON, SC, 294123907Browse SC providers · Browse ZIP 29412
- Phone
- 8432036955
- Fax
- 8438054908
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| KELLY J LENZ | PT | 1891775045 |
| MR. THOMAS J SCOTT | PT | 1285608117 |
| AMANDA HEYBOER | M.P.T. | 1457317836 |
| DR. MICHAEL JOHN BRAUN | DPT | 1174581961 |
| MS. CYNTHIA POLIARD | PT | 1740238567 |
| MRS. MARILYN SWYGERT | PT | 1619903366 |
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.