| Jordan Gingery, | |
| 
					630 Morrison Rd Ste 310, Gahanna, OH 43230-5318  | |
| (614) 755-2347 | |
| (614) 755-2348 | 
| Full Name | Jordan Gingery | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 630 Morrison Rd Ste 310, Gahanna, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831882109 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT020062 (Ohio) | Primary | 
| Provider Name | Enliven Rehabilitation Services Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1386202554 PECOS PAC ID: 1850626375 Enrollment ID: O20190705000167  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jordan Gingery, 630 Morrison Rd Ste 310, Gahanna, OH 43230-5318 Ph: (614) 755-2347  | Jordan Gingery, 630 Morrison Rd Ste 310, Gahanna, OH 43230-5318 Ph: (614) 755-2347  | 
Mrs. Jennifer Lynn Advent, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1045 Beecher Xing N, Suite C, Gahanna, OH 43230 Phone: 614-775-9618 Fax: 614-775-9633  | |
Danielle Skaggs, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 Mill St, Gahanna, OH 43230 Phone: 614-414-5437  | |
Xavier Stephen Martinez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 605 Crescent Pl, Gahanna, OH 43230 Phone: 614-545-7900 Fax: 614-545-7901  | |
Mitchell Robert Machock, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 Crescent Pl, Gahanna, OH 43230 Phone: 614-545-7900 Fax: 614-545-7901  | |
Jack Jander, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1045 Beecher Xing N Ste C, Gahanna, OH 43230 Phone: 614-775-9618  | |
Cody James Mansfield,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 N Hamilton Rd, Gahanna, OH 43230 Phone: 614-293-5586 Fax: 614-293-5586  | |
Katherine Marie Kakis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 Crescent Pl, Gahanna, OH 43230 Phone: 614-545-7900 Fax: 614-545-7901  |