Individual provider Active NPI

Jeffrey Evans Lace, MPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1174503932
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2336 Issued in AZ
Practice address
465 E Chilton Dr
Suite 6
Chandler, AZ 85225-1184
Phone
(480) 503-2100
Fax
(480) 503-2131
NPI assigned
Jan 18, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 2336 AZ Primary

Addresses

Primary practice location

465 E Chilton Dr
Suite 6
Chandler, AZ 85225-1184

Mailing address

9047 E Blanche Dr
Scottsdale, AZ 85260-2755
Phone (480) 661-7890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150430000006 AZ Practitioner - Physical Therapist in Private Practice 8325367188 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

14601 N Scottsdale Rd
Suite 108
Scottsdale, AZ 85254-2984
Phone (480) 729-8400

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2336AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 12, 2021 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Dec 1, 2022 Accepting new patients
Camelback Sports Therapy LLC Physical Therapist CurrentSince Feb 1, 2019 Accepting new patients
Foothills Sports Medicine & Rehabilitation- Tatum, Inc. Physical Therapist CurrentSince Jan 25, 2020 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Shelley McClellan PT PLLC Physical Therapist CurrentSince Jan 7, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 12, 2021 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Dec 11, 2016 Accepting new patients
Accelerated Rehabilitation Centers of Phoenix LLC Physical Therapist Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations (25 of 61)

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

4929 W Ray Rd
Chandler, AZ 85226

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

3131 S Market St
Ste 109
Gilbert, AZ 85295

690 S Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 503-2100

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (408) 219-7519

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

2005 W Happy Valley Rd
Ste 170
Phoenix, AZ 85085
Phone (623) 322-0654

21043 N Cave Creek Rd
Ste A1
Phoenix, AZ 85024
Phone (602) 483-5600

Interoperability endpoints

  • Direct secure messaging: jeffrey.lace.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 10

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1174503932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9047 E BLANCHE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602755",
            "telephone_number": "480-661-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 E CHILTON DR",
            "address_2": "SUITE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251184",
            "telephone_number": "480-503-2100",
            "fax_number": "480-503-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACE",
        "first_name": "JEFFREY",
        "middle_name": "EVANS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 2008; 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.