Provider Demographics
NPI:1780113373
Name:HARTMAN, JORDAN PATRICK (DPT)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:PATRICK
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:502-694-3500
Mailing Address - Fax:502-537-6377
Practice Address - Street 1:6413 DUTCHMANS PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3339
Practice Address - Country:US
Practice Address - Phone:502-694-3500
Practice Address - Fax:502-537-6377
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist