Organization Active NPI

Jenny Landsberg

Doing business as Pediatric Therapy Specialists

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1235554478
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JENNY LANDSBERG
Doing business as
Pediatric Therapy Specialists
Practice address
18555 N 79TH Ave Ste E101
Glendale, AZ 85308-8392
Phone
(623) 487-0947
Fax
(623) 487-4897
NPI assigned
Feb 25, 2014
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Ms. Jenny Landsberg
Title
Owner
Phone
(623) 487-0947

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

18555 N 79TH Ave Ste E101
Glendale, AZ 85308-8392

Mailing address

18555 N 79TH Ave Ste E101
Glendale, AZ 85308-8392
Phone (623) 487-0947

Other names 1

  • Pediatric Therapy Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1235554478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE E101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088392",
            "telephone_number": "623-487-0947",
            "fax_number": "623-487-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE E101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088392",
            "telephone_number": "623-487-0947",
            "fax_number": "623-487-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY LANDSBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "LANDSBERG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-487-0947",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.