Jdphysicaltherapy LLC

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Legal business name

JDPHYSICALTHERAPY LLC

Practice address

4114 N 28TH St Apt 2030
Phoenix, AZ 85016-5772

Phone

(310) 896-1203

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. John Durnell II, PT, DPTNPI 1164150256

Title

Owner

Phone

(310) 896-1203

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Durnell II, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1164150256

  Single Specialty, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1306525787",
    "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",
            "telephone_number": "310-896-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 N 28TH ST APT 2030",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165772",
            "telephone_number": "310-896-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDPHYSICALTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "DURNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-896-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassandra Jean Jean Lopez
• Alethea Jean Philippe, PT, DPT
• Aaliyah Jean
• Nicholas Xavier Jebaily, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.