MR. JORDAN DREW BETTLEYON (NPI# 1841784170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841784170 |
| Entity Type | Individual |
| Full Name | MR. JORDAN DREW BETTLEYON |
| Credential | MS, LAT, ATC, EP-C |
| Practice Address |
5400 Ramsey St Fayetteville NC 28311 |
| Mailing Address |
408 Tartan Ct Fayetteville NC 28311-1694 |
| Practice Telephone | 9106307000 |
| Mailing Telephone | 5702746387 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
3994 | NC | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
003597 | NY | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
RTO000311 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
5400 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774820 | Hugh Whitman Harling IIi | Specialist/Technologist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2006-03-21 |
| 1245732379 | Elizabeth M Warren | Counselor | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2018-03-05 |
| 1841714771 | Aaron Michael Mcdonald | Specialist/Technologist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2017-08-02 |
| 1134656879 | Heather O'quinn Regan | Counselor | 5400 Ramsey St, Pearce Hall, Fayetteville, NC 28311-1420 | 2017-05-12 |
| 1033656129 | Emily Zamora | Specialist/Technologist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2017-01-26 |
| 1972955698 | Nicholas Charles Martens | Specialist/Technologist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2016-07-06 |
| 1871983940 | Ginna Ashley Lewis | Specialist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2015-01-28 |
| 1962809269 | Methodist University | Physician Assistant | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2014-12-02 |
| 1447529797 | Joel D. Sattgast | Physical Therapist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2011-12-15 |
| 1376778175 | Rachelle Bowman | Specialist/Technologist | 5400 Ramsey St, Fayetteville, NC 28311-1420 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945473 | Brooke Hollingworth | Physical Medicine & Rehabilitation | 3900 N Parkview Dr Ste 202, Fayetteville, AR 72703-6398 | 2020-09-04 |
| 1770180903 | Kenneth Lassiter | Physical Medicine & Rehabilitation | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-10-01 |
| 1144741976 | Provision Physical Therapy,llc | Physical Medicine & Rehabilitation | 105 Commerce Dr Ste B, Fayetteville, GA 30214-7352 | 2017-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679130744 | Mojo Sportclinic, LLC | Physical Medicine & Rehabilitation | 6859 Monument Dr, Wilmington, NC 28405-4178 | 2019-05-23 |
| 1679138176 | Jeneva Gatses | Physical Medicine & Rehabilitation | 13759 Cinnabar Pl, Huntersville, NC 28078-5342 | 2019-05-09 |
| 1285159905 | Austin John Hille | Physical Medicine & Rehabilitation | 400 Landis Ct. #203, Asheville, NC 28806 | 2017-08-03 |
| 1174052138 | Olivia Sabo | Physical Medicine & Rehabilitation | 8814 Red Rd, Rockwell, NC 28138-6500 | 2017-06-05 |
| 1588296719 | Douglas Maccallum | Physical Medicine & Rehabilitation | 2121 E Williams St Ste 108, Apex, NC 27539-7765 | 2020-02-05 |
| 1972153419 | Meredith Elise Bland | Physical Medicine & Rehabilitation | 3475 Erwin Rd, Durham, NC 27705-0005 | 2019-09-17 |
| 1275188484 | Edward Albert Marshall Jr. | Physical Medicine & Rehabilitation | 224 East Wilson Street, Wingate, NC 28174 | 2019-08-05 |
| 1881174878 | Jaela Marie Wilson | Physical Medicine & Rehabilitation | 1801 Fayetteville St, Durham, NC 27707-3129 | 2018-08-19 |
| 1154813756 | Willie Phillips II | Physical Medicine & Rehabilitation | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
| 1437665361 | Novant Medical Group, Inc. | Physical Medicine & Rehabilitation | 8035 Providence Rd Ste 100, Charlotte, NC 28277-9716 | 2017-12-14 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
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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.