Jordan Amodeo, DPT
Physical Therapist in Novi, MI. Individual provider (NPI-1).
NPI number1811310568
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1811310568
- Entity type
- Individual (NPI-1)
- Name
- Jordan Amodeo
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2014
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501016571 | MI | Yes |
Practice location
23655 Novi Rd Ste 101Novi, MI 48375-5442
Phone 248-277-3440 · Fax 248-277-3441
Mailing address
33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258
Phone 586-350-2644 · Fax 586-541-3735
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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.
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