Active NPI
Jeremy Stephen Irons, PT
- Physical Therapist
- Oro Valley, AZ
National Provider Identifier
1336405489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9728
- Practice address
- 12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755-1897 - Phone
- (520) 229-0009
- Fax
- (520) 229-0007
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9728 | AZ | Primary |
Addresses
Primary practice location
12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755-1897
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9728 | Other | AZ | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9728 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Wellness Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| Nifty After Fifty | Physical Therapist | Past | Accepting new patients |
Locations
191 W Esperanza Blvd
Green Valley, AZ 85614
Phone (520) 791-7300
4821 N Stone Ave
Tucson, AZ 85704
Phone (520) 314-3300
16405 Whittier Blvd
Whittier, CA 90603
Phone (562) 501-2200
Interoperability endpoints
- jeremy.irons.1@32527.direct.athenahealth.com
- jeremy.irons.p4@direct.caremorewest.nextgenshare.com
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Whittier, CA
- NPI 1164540902
AZ, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1336405489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12162 N RANCHO VISTOSO BLVD",
"address_2": "STE 120",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857551897",
"telephone_number": "520-229-0009",
"fax_number": "520-229-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRONS",
"first_name": "JEREMY",
"middle_name": "STEPHEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "9728",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.