Individual provider Active NPI

Jason Paladino, MPT

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1003848680
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6812 Issued in AZ
Practice address
8685 W Union Hills Dr
Peoria, AZ 85382-7006
Phone
(623) 486-2331
Fax
(623) 486-3136
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6812 AZ Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

8685 W Union Hills Dr
Peoria, AZ 85382-7006

Mailing address

12861 W Palo Brea LN
Peoria, AZ 85383-4419
Phone (623) 824-2785

Other practice location 1

2525 W Carefree Hwy Ste 136
Phoenix, AZ 85085-6096
Phone (623) 486-2331

Other identifiers 1

IdentifierTypeStateIssuer
6812OtherAZPT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219002382 AZ Practitioner - Physical Therapist in Private Practice 2668418856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SLK IncGroup PAC ID 3476456591, 4 clinicians

Practice addresses (Care Compare)

8685 W Union Hills Dr
Peoria, AZ 85382-7006
Phone (623) 486-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6812AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SLK Inc Specialist CurrentSince Oct 20, 2025 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Community Rehab LLC Physical Therapist Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients

Locations

8685 W Union Hills Dr
Peoria, AZ 85382
Phone (623) 486-2331

2525 W Carefree Hwy
Phoenix, AZ 85085
Phone (602) 840-0681

2525 W Carefree Hwy
Ste 136
Phoenix, AZ 85085
Phone (623) 486-2331

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1003848680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12861 W PALO BREA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834419",
            "telephone_number": "623-824-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827006",
            "telephone_number": "623-486-2331",
            "fax_number": "623-486-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 W Carefree Hwy Ste 136",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850856096",
            "country_code": "US",
            "telephone_number": "623-486-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALADINO",
        "first_name": "JASON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6812",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "6812",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.