NPI 1407404957
Jordan Henning
Physical Therapist · Portage, MI
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:45 am EDT
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Jordan Henning is a health care provider (Physical Therapist) in Portage, Michigan with National Provider Identifier (NPI) 1407404957. The NPI was issued on Aug 28, 2019 and the registry record was last updated on Aug 28, 2019. The registry lists a license in Michigan.
Registry record
- NPI
- 1407404957
- Type
- Individual (NPI-1)
- Primary specialty
- Physical Therapist 225100000X
- Practice location
- 1423 W Centre Ave
Portage, MI 49024-5323 - Phone
- (269) 323-4300
- NPI issued
- Aug 28, 2019
- Registry record updated
- Aug 28, 2019
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | Michigan | 5501019285 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Physical Therapist providers in Michigan
- Adam Smith, P.T., D.P.T., CSCSRockford, MI
- John Michael Phillips, P.T.Iron Mountain, MI
- Dipak PatelSterling Heights, MI
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.