| Dr Jordan Matthew Barrera, PT, DPT | |
|
1120 Tall Grass Ave, Tiffin, IA 52340-4753 | |
| (319) 209-6548 | |
| Not Available |
| Full Name | Dr Jordan Matthew Barrera |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1120 Tall Grass Ave, Tiffin, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558043083 | NPI | - | NPPES |
| 06-65463 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 119819 (Iowa) | Primary |
| Provider Name | Progressive Rehabilitation Associates Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851462865 PECOS PAC ID: 2961443072 Enrollment ID: O20241213000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Matthew Barrera, PT, DPT 1130 S Scott Blvd Ste 1, Iowa City, IA 52240-2909 Ph: (319) 338-5800 | Dr Jordan Matthew Barrera, PT, DPT 1120 Tall Grass Ave, Tiffin, IA 52340-4753 Ph: (319) 209-6548 |
Melissa Sievers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1120 Tall Grass Ave, Tiffin, IA 52340 Phone: 319-545-2407 Fax: 319-545-4128 | |
Jacob Raecker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 Buck St, Tiffin, IA 52340 Phone: 319-464-5410 | |
Mr. Leonard Paul Roggeveen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 Redbird Run, Tiffin, IA 52340 Phone: 319-430-4960 |