Individual provider Active NPI

Jennifer M Guy-Carchidi, PT, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1285689497
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19573 Issued in NC
Practice address
960 E Warner Rd Ste 7
Chandler, AZ 85225-1041
Phone
(480) 222-0655
Fax
(480) 222-1457
NPI assigned
May 24, 2006
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 6993 AZ
Physical Therapist 225100000X P19573 NC Primary

Addresses

Primary practice location

960 E Warner Rd Ste 7
Chandler, AZ 85225-1041

Mailing address

790 Remington Blvd Ste 110
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

20261 E Ocotillo Rd
Suite 110
Queen Creek, AZ 85142-8806
Phone (480) 677-2771

Other practice location 2

5035 Arco St
Cary, NC 27519-6012
Phone (919) 781-4060

Other identifiers 1

IdentifierTypeStateIssuer
772914MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060104000145 AZ Practitioner - Physical Therapist in Private Practice 4880616978 Reassigns benefits to 1 organization
I20201229001569 NC Practitioner - Physical Therapist in Private Practice 4880616978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

960 E Warner Rd
Suite 7
Chandler, AZ 85225-1041
Phone (480) 222-0655

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19573NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Clinic PA CurrentSince Dec 3, 2020 Accepting new patients
Raleigh Orthopaedic Pharmacy CurrentSince Dec 3, 2020 Accepting new patients
Elite Medical Partners PLLC CurrentSince Jun 1, 2021 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients
Dynamic Rehab Hand Therapy, Inc. PastSince Aug 19, 2009 Accepting new patients
Strength Training Inc Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

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

115 E Williams Field Rd
Ste 103
Gilbert, AZ 85295
Phone (480) 281-0779

3131 S Market St
Ste 109
Gilbert, AZ 85295

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

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

4025 E Chandler Blvd
Ste 60
Phoenix, AZ 85048
Phone (480) 417-5271

20261 E Ocotillo Rd
Ste 110
Queen Creek, AZ 85142
Phone (480) 677-2771

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Ste 110
Bolingbrook, IL 60440

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6991

3001 Edwards Mill Rd
#200
Raleigh, NC 27612
Phone (919) 863-6853

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

Organizations & group practices 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1285689497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD STE 110",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E WARNER RD STE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251041",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20261 E Ocotillo Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851428806",
            "country_code": "US",
            "telephone_number": "480-677-2771",
            "fax_number": "480-677-2768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5035 Arco St",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275196012",
            "country_code": "US",
            "telephone_number": "919-781-4060",
            "fax_number": "919-863-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUY-CARCHIDI",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6993",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772914",
            "state": "AZ"
        }
    ],
    "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 Nov 13, 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.