Healthcare Provider Details

I. General information

NPI: 1053227082
Provider Name (Legal Business Name): DANIEL JORDAN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15215-1802
US

IV. Provider business mailing address

208 KUEHN DR
TRAFFORD PA
15085-1604
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-2222
  • Fax:
Mailing address:
  • Phone: 412-523-4666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034545
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: