Jenna Tabaczka, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13168 Issued in AZ

Practice address

5410 N Scottsdale Rd Ste A100
Paradise Valley, AZ 85253

Phone

(480) 609-0822

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Therapy and Wellness, PLLCGroup PAC ID 4880848415, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Therapy and Wellness, PLLC

  • Orthopedic Physical Therapist
  • Tempe, AZ
  • NPI 1760729032
  Medicare reassignment Care Compare group NPD
• Ati Holdings of Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  Medicare reassignment NPD
• Orthopedic Therapy and Wellness

  • Orthopedic Physical Therapist
  • Phoenix, AZ
  • NPI 1922842483
  NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1326567405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-609-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD STE A100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-609-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11209 N Tatum Blvd Ste. 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85014",
            "country_code": "US",
            "telephone_number": "602-595-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5410 N Scottsdale Rd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852535956",
            "country_code": "US",
            "telephone_number": "480-609-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABACZKA",
        "first_name": "JENNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Valley Emergency Health Services PC
• Sunquest Manor
• Susan Wood Endodontics, PLLC
• Anne Sweet
• Sym PHX LLC
• Kevin Philip Theodorou, MD
• Kate Thongtrangan, ACNP
• Kristen Ueberschaer
• Ultimate Medical Solutions, LLC
• Usman Urooj, DPM

• Physical Therapist in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.