Individual provider · Type 1 NPI

Iradis Jordan

Physical Therapy Assistant · Fort Walton Beach, FL

NPI number 1750295945 Active

Practice location

1020 Titan Ct Ste 102
Fort Walton Beach, FL 32547-6638

Call (850) 863-7581 Map

Fax (833) 355-1090

Mailing address

107 Marlberry Trce
Santa Rosa Beach, FL 32459-3375

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1750295945

Iradis Jordan's National Provider Identifier is 1750295945, issued on Oct 2, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Oct 2, 2026.