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NPI Code Detail

MEDICARE: JORDAN WOPINSKI PT, DPT

MEDICARE: JORDAN WOPINSKI PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP21916NC

General Provider Information

NPI Number : 1720673114
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN WOPINSKI PT, DPT
Provider Business Mailing Address
First Line : 910 WALNUT AVE APT 201
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-4670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4012 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2377
Country : US
Telephone Number : 704-332-4834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2021
Last Update Date : 10/21/2025

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Directions to “ JORDAN WOPINSKI PT, DPT” Practice Location

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