Provider Demographics
NPI:1952806549
Name:BILLINGS, JORDAN LEIGH (DPT)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:LEIGH
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2064 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1449
Mailing Address - Country:US
Mailing Address - Phone:603-494-1928
Mailing Address - Fax:
Practice Address - Street 1:2064 POPLAR ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-1449
Practice Address - Country:US
Practice Address - Phone:603-494-1928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist