Active NPI
John Durnell II, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32487
- Practice address
- 1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2719 - Phone
- (602) 393-0520
- NPI assigned
- Aug 8, 2022
- Last updated
- Jul 25, 2023
- Sex
- Male
- 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 | LPT-32487 | AZ | Primary |
Addresses
Primary practice location
1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2719
Mailing address
4114 N 28TH St Apt 2030
Phoenix, AZ 85016-5772
Other practice location 1
4114 N 28th St Apt 2030
Phoenix, AZ 85016-5772
Phone (310) 896-1203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Austin, TX 78731
Phone (520) 652-1747
Phoenix, AZ 85016
Phone (310) 896-1203
4114 N 28TH St Apt
Suite 2030
Phoenix, AZ 85016-5772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jdphysicaltherapy LLC | Single Specialty | Current | Accepting new patients |
Locations
13617 N 32nd St
Phoenix, AZ 85032
Phone (310) 896-1203
4539 N 22nd St
Ste R
Phoenix, AZ 85016
Phone (888) 454-1606
5900 Balcones Dr
Ste 23924
Austin, TX 78731
Phone (520) 652-1747
Organizations & group practices 1
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": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1164150256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 N 28TH ST APT 2030",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 E MISSOURI AVE STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142719",
"telephone_number": "602-393-0520"
}
],
"practiceLocations": [
{
"address_1": "4114 N 28th St Apt 2030",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850165772",
"country_code": "US",
"telephone_number": "310-896-1203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURNELL",
"first_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-08",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32487",
"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 Jul 25, 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.