Individual provider Active NPI

Jenna Maher

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1114371259
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12102 Issued in AZ
Practice address
17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030
Phone
(602) 547-1836
Fax
(602) 547-2806
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 12102 AZ Primary

Addresses

Primary practice location

17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030

Mailing address

17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030
Phone (602) 547-1836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130002443 AZ Practitioner - Physical Therapist in Private Practice 8022398445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strength Training IncGroup PAC ID 8325948094, 20 clinicians

Practice addresses (Care Compare)

17233 N Holmes Blvd
Suite 1650
Phoenix, AZ 85053-2030
Phone (602) 547-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Training Inc Physical Therapist CurrentSince Mar 28, 2016 Accepting new patients
Strength Training Inc PastSince Mar 28, 2016 Accepting new patients

Locations

1325 N Litchfield Rd
Ste 140
Goodyear, AZ 85395
Phone (623) 440-5487

1941 W Guadalupe Rd
Ste 108
Mesa, AZ 85202
Phone (480) 491-3563

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

4801 E McDowell Rd
Ste 100
Phoenix, AZ 85008
Phone (602) 956-2850

444 W Osborn Rd
Ste 303
Phoenix, AZ 85013
Phone (602) 279-8022

9150 W Indian School Rd
Ste 117
Phoenix, AZ 85037
Phone (623) 872-9949

14802 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-2775

11361 S Foothills Blvd
Ste 2
Yuma, AZ 85367
Phone (928) 342-7234

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1114371259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532030",
            "telephone_number": "602-547-1836",
            "fax_number": "602-547-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532030",
            "telephone_number": "602-547-1836",
            "fax_number": "602-547-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.