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Jennifer Giordano, PTA

Physical Therapy Assistant in Gulfport, MS. Individual provider (NPI-1).

NPI number1508979907
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1508979907
Entity type
Individual (NPI-1)
Name
Jennifer Giordano
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 17, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA3555MSYes

Practice location

15190 Community Rd
Suite 110
Gulfport, MS 39503-3485

Phone 228-831-4646 · Fax 228-831-4689

Mailing address

15190 Community Rd
Suite 110
Gulfport, MS 39503-3485

Phone 228-831-4646 · Fax 228-831-4689

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Gulfport, MS

All 9 Physical Therapy Assistant providers in Gulfport · All 2,821 providers in Gulfport

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