Kaitlin Jenice Tuttle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30836 Issued in AZ

Practice address

717 W Dunlap Ave
Phoenix, AZ 85021-3521

Phone

(602) 944-2146

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spooner Physical Therapy and Hand Rehab, PCGroup PAC ID 3476440447, 202 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1184730095
  Medicare reassignment Care Compare group NPD
• Ouachita Physical Therapy,Inc.

  • Physical Therapy Clinic/Center
  • Monroe, LA
  • NPI 1144270125

  Physical Therapist

  Medicare reassignment NPD
• Winnsboro Physical Therapy, Inc

  • Physical Therapist
  • Winnsboro, LA
  • NPI 1053359083
  Medicare reassignment NPD
• Northeast Louisiana Rehabilitation

  • Physical Therapist
  • Farmerville, LA
  • NPI 1417349929
  Medicare reassignment
• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1104478320
  NPD
• Spooner Physical Therapy and Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Rockwall, TX
  • NPI 1184465650

  Physical Therapist

  NPD
• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1104278928

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1164071023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ASHFORD DR APT 1124",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213521",
            "telephone_number": "602-944-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "KAITLIN",
        "middle_name": "JENICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10459",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turtle Dental Management Professional Corporation
• Kara Turtzer, LAC
• Tuscano Dental
• Tushiya Care Center LLC
• Jacob Tuttle, MD
• Kristopher Tuttle, LCSW
• Brittany Nichole Tuuk, RN
• Safran Tuyishime
• Francine Mary Tvrdy, AUD, CCC-A
• Tweb Resources Dba the World Egg Bank

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.