Traci Pope Jordan, PT, DPT
NPI 1356624910ActiveIndividual· Physical Therapist· Riverdale, GA
Physical Therapist (PT, DPT) in Riverdale, Georgia, licensed in GA, with an NPI issued in September 2011. Medicare paid $23,335 for services to 86 patients in 2024.
Overview
| NPI | 1356624910 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 21, 2011 |
| Last updated in NPPES | Jul 22, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT010458 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 1,159 across 7 procedure codes |
| Paid by Medicare | $23,335 |
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