Individual provider Active NPI

Jade Azevedo

  • Orthopedic Physical Therapist
  • Scotts Valley, CA
National Provider Identifier
1083581011
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT308854 Issued in CA
Practice address
269 Mount Hermon Rd Ste 204
Scotts Valley, CA 95066-4000
Phone
(831) 464-8200
NPI assigned
Oct 23, 2025
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT308854 CA Primary

Addresses

Primary practice location

269 Mount Hermon Rd Ste 204
Scotts Valley, CA 95066-4000

Mailing address

102 Overlook Dr
Santa Cruz, CA 95060-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT308854CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy & Fitness CurrentSince Nov 7, 2025 Accepting new patients
Precision Physical Therapy & Fitness Orthopedic PastSince Nov 7, 2025 Accepting new patients

Locations

269 Mount Hermon Rd
Ste 204
Scotts Valley, CA 95066
Phone (831) 464-8200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1083581011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OVERLOOK DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MOUNT HERMON RD STE 204",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664000",
            "telephone_number": "831-464-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT308854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.