Individual provider · Type 1 NPI

Jordan Miranda Richmond, PT, DPT

Physical Therapist · Libertyville, IL

NPI number 1043127996 Active

Practice location

1585 N Milwaukee Ave Ste 101
Libertyville, IL 60048-1359

Call (847) 918-7947 Map

Other practice locations

  • 1860 W Winchester Rd, Libertyville, IL 60048-5351 · (847) 573-9486

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070040888 (IL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1043127996

Jordan Miranda Richmond, PT, DPT's National Provider Identifier is 1043127996, issued on Aug 26, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Libertyville, IL. The record was last updated on Aug 29, 2026.