| Jordan Theresa Mansfield, DPT | |
|
65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 | |
| (385) 308-8034 | |
| Not Available |
| Full Name | Jordan Theresa Mansfield |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 65 E Wadsworth Park Dr Ste 230, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023483526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501017278 (Michigan) | Primary |
| Provider Name | Michigan Orthopedic Center P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326371964 PECOS PAC ID: 8527026442 Enrollment ID: O20041223000287 |
| Provider Name | Farmington Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538197611 PECOS PAC ID: 7416865423 Enrollment ID: O20060731000458 |
| Provider Name | Therapy Management Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407293640 PECOS PAC ID: 2961630645 Enrollment ID: O20140103000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Theresa Mansfield, DPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Jordan Theresa Mansfield, DPT 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034 |
Thomas J Tardif, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Justin Guillot, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034 |