| Jordan Spradlin, DPT | |
|
550 Pope Ave, Fort Leavenworth, KS 66027-2332 | |
| (913) 684-6338 | |
| Not Available |
| Full Name | Jordan Spradlin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 550 Pope Ave, Fort Leavenworth, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386269744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT298826 (California) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| Provider Name | Usc Care Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Provider Name | Neal Benjamin Limited Liability Co |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093346280 PECOS PAC ID: 8426487620 Enrollment ID: O20200409002575 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Spradlin, DPT 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: () - | Jordan Spradlin, DPT 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6338 |
Mrs. Lisa Jean Hover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mxcn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Mrs. Elesa Ann Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Kyle Edward Parks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6338 | |
Jennah Renae Bulen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6180 | |
Trent Mcpherson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6234 | |
Gerald Ertz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6338 |