Jordan Keith Spady, DPT
NPI 1336787522ActiveIndividual· Physical Therapist· Yucaipa, CA
Physical Therapist (DPT) in Yucaipa, California, trained at Loma Linda University School of Medicine (class of 2018). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1336787522 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Dec 18, 2019 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT295345 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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All 23 physical therapists in Yucaipa · All physical therapists in California