CMS-1500 Box 24J / 33a • NPI
1184291627
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
6420 CLAYTON RD, SAINT LOUIS, MO, 63117-1811
✓ 9-Digit EDI 837 ZIP+4 (63117-1811)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184291627 (JORDAN HYINK, PT, DPT, LAT, ATC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184291627 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JORDAN HYINK, PT, DPT, LAT, ATC |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6420 CLAYTON RD, SAINT LOUIS, MO, 63117-1811 |
| Practice Telephone / Fax | Tel: (314) 768-8000 |
| Administrative Mailing Address | 4508 KINGFISHER CT, AUGUSTA, MO, 63332-1570 |
| Enumeration & Last Sync | Enumerated: 2021-06-04 | CMS Record Updated: 2024-12-20 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JORDAN HYINK, PT, DPT, LAT, ATC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: FL | License: AL7088 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: FL | License: PT40019 | Primary: Yes (Primary) |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: MO | License: 2021021918 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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