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Jordan Vandyke

NPI 1841836533ActiveIndividual· Physical Therapist· Greenville, IL

Physical Therapist in Greenville, Illinois, licensed in IL, with an NPI issued in November 2019. Medicare paid $126,656 for services to 59 patients in 2024.

Overview

NPI1841836533
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 18, 2019
Last updated in NPPESNov 18, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X070024599IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (MO)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients59
Services billed6,481 across 16 procedure codes
Paid by Medicare$126,656

Medicare sources and data years

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