Active NPI
Jessica Pollard Midkiff, DPT PT
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3728
- Practice address
- 825 E Warner Rd
Suite C-100
Chandler, AZ 85225-0994 - Phone
- (480) 722-0300
- Fax
- (480) 722-0302
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3728 | AZ | Primary |
Addresses
Primary practice location
825 E Warner Rd
Suite C-100
Chandler, AZ 85225-0994
Mailing address
825 E Warner Rd
Suite C-100
Chandler, AZ 85225-0994
Phone (480) 722-0300
Other names 1
- Ms. Jessica Lyn Pollard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3728 | AZ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Orthopaedics Phoenix, LLC | Physical Therapist | Current | Accepting new patients |
| Catz Physical Therapy | Past | Accepting new patients | |
| Stat,LLC | Past | Accepting new patients |
Locations
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
539 E Glendale Ave
Ste 105
Phoenix, AZ 85020
Phone (602) 241-3145
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298
Organizations & group practices 4
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.
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Physical Therapist
- Phoenix, AZ
- NPI 1457304792
-
- Clinic/Center
- Chandler, AZ
- NPI 1932391299
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1023317112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1073540290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E WARNER RD",
"address_2": "SUITE C-100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852250994",
"telephone_number": "480-722-0300",
"fax_number": "480-722-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E WARNER RD",
"address_2": "SUITE C-100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852250994",
"telephone_number": "480-722-0300",
"fax_number": "480-722-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDKIFF",
"first_name": "JESSICA",
"middle_name": "POLLARD",
"name_prefix": "Ms.",
"credential": "DPT PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "POLLARD",
"middle_name": "LYN",
"prefix": "MS.",
"credential": "DPT PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.