Individual provider Active NPI

Jessica Pollard Midkiff, DPT PT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1073540290
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3728 Issued in AZ
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

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000147 AZ Practitioner - Physical Therapist in Private Practice 7618947995 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3728AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Oct 20, 2023 Accepting new patients
Foothills Sports Medicine & Orthopaedics Phoenix, LLC Physical Therapist CurrentSince Mar 14, 2011 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.

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.

Verify at the official NPI Registry.