Provider Demographics
NPI:1730994732
Name:LLINAS, JORDAN NICOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:NICOLE
Last Name:LLINAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8123 SUN TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4959
Mailing Address - Country:US
Mailing Address - Phone:832-260-8595
Mailing Address - Fax:
Practice Address - Street 1:23144 CINCO RANCH BLVD STE E
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2893
Practice Address - Country:US
Practice Address - Phone:281-769-2301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1403952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist