Healthcare Provider Details

I. General information

NPI: 1326429788
Provider Name (Legal Business Name): JORDAN SETTIMIO BELDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN MARIE SETTIMIO

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 12/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 ALEXANDER DR
MC MURRAY PA
15317-2608
US

IV. Provider business mailing address

5417 FOXRIDGE DR APT 307
MISSION KS
66202-4512
US

V. Phone/Fax

Practice location:
  • Phone: 724-288-6063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15662
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: