Doctor profile · Federal record

Dr. Jordan Kimball

Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Physical Therapist · Fort Mill, SC

  • NPI 1417696535
  • Accepts Medicare
  • MIPS 100.0 / 100 · 2023
  • 4 yrs in practice
  • Licensed in 3 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
130 Crisanto Ave Ste A
Fort Mill, SC 297156272
(803) 746-4655
Additional location
3485 Windsor Ave
Dubuque, IA 520011329
(563) 557-7180
Additional location
2100 N Davidson St Ste C
Charlotte, NC 282051828
(980) 556-7780
Mailing address
Po Box 412066
Boston, MA 022412313

Credentials & registration

NPPES · NUCC
NPI registered
May 2022 — 4 yrs on file
Profile last updated
March 19, 2024
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
225100000X — NUCC code
State licenses (3)
South Carolina #12276 · Iowa #114750 · North Carolina #P22943

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417696535. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
385
Distinct HCPCS
4
Medicare allowed
$10,696
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 166 30 $31
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 160 29 $22
97140 Therapy procedure using manual technique, each 15 minutes 48 18 $20
97161 Evaluation for physical therapy, typically 20 minutes 11 11 $99

In context: peer comparison

Among 14 peers in this city , average services per provider: 483. This provider delivers 0.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jordan Kimball's medical specialty?
Dr. Jordan Kimball practices Physical Therapist in Fort Mill, SC.
Where does Dr. Jordan Kimball practice?
Dr. Jordan Kimball practices at 130 Crisanto Ave Ste A, Fort Mill, SC 297156272. Office phone: 8037464655.
What is Dr. Jordan Kimball's NPI?
Dr. Jordan Kimball's National Provider Identifier (NPI) is 1417696535, issued by NPPES.
Does Dr. Jordan Kimball accept Medicare assignment?
Yes. Dr. Jordan Kimball accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jordan Kimball commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.