| Jordan Clouse, PT | |
|
245 W 2nd St Ste 27, Mesa, AZ 85201-6563 | |
| (480) 420-9407 | |
| (480) 281-5220 |
| Full Name | Jordan Clouse |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 245 W 2nd St Ste 27, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811414501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13246 (Arizona) | Primary |
| Provider Name | Arizona Luna Care Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830 |
| Provider Name | Ulife Health, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851073209 PECOS PAC ID: 9931645413 Enrollment ID: O20240719002918 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Clouse, PT 245 W 2nd St Ste 27, Mesa, AZ 85201-6563 Ph: (480) 420-9407 | Jordan Clouse, PT 245 W 2nd St Ste 27, Mesa, AZ 85201-6563 Ph: (480) 420-9407 |
Justin Dunaway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 E Baseline Rd, Suite 102, Mesa, AZ 85206 Phone: 480-222-0655 Fax: 480-222-1457 |
Deborah A Mordhorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 |
Anda Michelle Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5358 E Baseline Road, Mesa, AZ 85206 Phone: 480-699-9224 |
Joshua N Lacanlale, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212 Phone: 480-357-6500 Fax: 480-357-6515 |
Savannah Torrez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2524 E Golden St, Mesa, AZ 85213 Phone: 575-499-4249 |
Bloom Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212 Phone: 480-357-6500 |
Kaye Sjoholm, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201 Phone: 505-363-4716 |