STACY ANN JORDAN (NPI# 1700266608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700266608 |
| Entity Type | Individual |
| Full Name | STACY ANN JORDAN |
| Credential | D.O. |
| Practice Address |
2914 N Boulevard Tampa FL 33602-1208 |
| Practice Telephone | 8132287696 |
| Practice Fax Number | 8132280677 |
| Mailing Telephone | 8132287696 |
| Mailing Fax Number | 8132280677 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | OS16125 | FL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 5101021920 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 5101021920 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740602622 | Stacy Jordan | Occupational Therapist | 216 Poplar Ave, Suite 101, Somerset, KY 42503-1764 | 2014-01-13 |
| 1831252386 | Stacy M. Jordan | Audiologist | 108 Cherry St, Burlington, VT 05401-4295 | 2006-12-18 |
| Street Address |
2914 N BOULEVARD |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234646 | Melinda H Hayes | Physical Medicine & Rehabilitation | 2914 N Boulevard, Tampa, FL 33602-1208 | 2005-12-01 |
| 1619538279 | Petronella Cornelia Sekeres | Nurse Practitioner | 2914 N Boulevard, Tampa, FL 33602-1208 | 2019-06-25 |
| 1639628670 | Kristina Niccole Garavaglia | Nurse Practitioner | 2914 N Boulevard, Tampa, FL 33602-1208 | 2016-10-03 |
| 1093135220 | Kadir Justin Carruthers | Physical Medicine & Rehabilitation | 2914 N Boulevard, Tampa, FL 33602 | 2014-04-28 |
| 1528296266 | Fouzia Shabana Khan | Physical Medicine & Rehabilitation | 2914 N Boulevard, Tampa, FL 33602-1208 | 2009-07-01 |
| 1538303912 | Rigoberto Nicholas Nunez | Physical Medicine & Rehabilitation | 2914 N Boulevard, Tampa, FL 33602-1208 | 2009-04-29 |
| 1275714073 | Wheamei Jenq | Physician Assistant | 2914 N Boulevard, Tampa, FL 33602-1208 | 2007-11-20 |
| 1053538942 | Sheryce Marie Andrews | Physical Medicine & Rehabilitation | 2914 N Boulevard, Tampa, FL 33602-1208 | 2007-04-20 |
| 1356469795 | Thomas Scott | Physician Assistant | 2914 N Boulevard, Tampa, FL 33602-1208 | 2007-03-26 |
| 1295893782 | Jairo O Parada | Physical Medicine & Rehabilitation | 2914 N Boulevard, Tampa, FL 33602-1208 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535719 | Ortho Impulsa LLC | Physical Medicine & Rehabilitation | 4450 E Fletcher Ave Ste A, Tampa, FL 33613-4907 | 2019-12-11 |
| 1336798156 | Anisley Lanza Diaz | Physical Medicine & Rehabilitation | 1419 W Waters Ave Ste 117, Tampa, FL 33604-2852 | 2019-09-04 |
| 1235697335 | Gabrielle Luksich | Physical Medicine & Rehabilitation | 3914 W Neptune St Apt 28, Tampa, FL 33629-5833 | 2019-03-07 |
| 1992290795 | Regginald Jackson | Physical Medicine & Rehabilitation | 11794 Casa Lago Ln Apt 302, Tampa, FL 33626-1645 | 2018-06-25 |
| 1528583051 | Bhavana Janakkumar Patel | Physical Medicine & Rehabilitation | 5907 Webb Rd, Tampa, FL 33615-3219 | 2017-08-05 |
| 1679956841 | Southern Advanced Rehabilitation Corp | Physical Medicine & Rehabilitation | 10723 Cory Lake Dr, Tampa, FL 33647-2725 | 2015-07-07 |
| 1487048518 | Skilled Physiatrists, Pa | Physical Medicine & Rehabilitation | 5004 E Fowler Ave, C-214, Tampa, FL 33617-2181 | 2015-03-26 |
| 1184932964 | Caseem Michaels | Physical Medicine & Rehabilitation | 2123 W Dr Luther King Dr Blvd, #103, Tampa, FL 33607 | 2010-09-15 |
| 1487885737 | Florida Wellness and Rehab Pa | Physical Medicine & Rehabilitation | 4104 West Linebaugh Ave., Tampa, FL 33624 | 2009-08-05 |
| 1134357502 | Family Rehabilitation Group, Inc. | Physical Medicine & Rehabilitation | 7819 N Dale Mabry Hwy Ste 212, Tampa, FL 33614-3221 | 2009-06-24 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.