Individual provider Active NPI

Janelle A Payne, PT, DPT

  • Physical Therapist
  • Rio Rico, AZ
National Provider Identifier
1366092025
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5551 Issued in NM
Practice address
1279 W Frontage Rd Unit H
Rio Rico, AZ 85648-6258
Phone
(520) 375-2127
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5551 NM Primary

Addresses

Primary practice location

1279 W Frontage Rd Unit H
Rio Rico, AZ 85648-6258

Mailing address

15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444

Other practice location 1

13370 E Mary Ann Cleveland Way Ste 130
Vail, AZ 85641-8611
Phone (520) 689-7144

Other practice location 2

13968 W Waddell Rd Ste 100&105
Surprise, AZ 85379-8718
Phone (888) 978-1404

Other practice location 3

4889 W Ajo Hwy Ste 135
Tucson, AZ 85757-9229
Phone (520) 578-6176

Other practice location 4

140 E Highway 550 Ste E3
Bernalillo, NM 87004-5943
Phone (505) 404-8652

Other practice location 5

28620 N El Mirage Rd Ste B102
Peoria, AZ 85383-2098
Phone (888) 433-7993

Other practice location 6

4175 N Pioneer Dr Ste 101A
Litchfield Park, AZ 85340-5646
Phone (623) 289-1593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123000925 AZ Practitioner - Physical Therapist in Private Practice 7810228673 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Apexnetwork Sierra Vista, PLLC Physical Therapist CurrentSince Dec 20, 2019 Accepting new patients
Apexnetwork New Mexico, LLC Physical Therapist CurrentSince Sep 17, 2019 Accepting new patients
Apexnetwork San Tan LLC Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients
Apexnetwork Arizona, LLC Physical Therapist CurrentSince Oct 15, 2020 Accepting new patients
Hometown Care, LLC Physical Therapist CurrentSince Aug 12, 2020 Accepting new patients
Multicare Health System Physical Therapist PastSince Dec 20, 2019 Accepting new patients

Locations

980 S Watson Rd
Ste 101
Buckeye, AZ 85326
Phone (623) 289-1916

37591 N Gantzel Rd
Ste 101
San Tan Vly, AZ 85140
Phone (480) 590-8504

2151 S Highway 92
Ste 106
Sierra Vista, AZ 85635
Phone (520) 335-1615

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

140 E Highway 550
Ste E3
Bernalillo, NM 87004
Phone (505) 404-8652

4206 Highway 64
Unit A1
Kirtland, NM 87417
Phone (505) 258-4175

101 Herdner Rd
Taos, NM 87571
Phone (575) 418-6787

834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1366092025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-651-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 W FRONTAGE RD UNIT H",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856486258",
            "telephone_number": "520-375-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13370 E Mary Ann Cleveland Way Ste 130",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "AZ",
            "postal_code": "856418611",
            "country_code": "US",
            "telephone_number": "520-689-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13968 W Waddell Rd Ste 100&105",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853798718",
            "country_code": "US",
            "telephone_number": "888-978-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4889 W Ajo Hwy Ste 135",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857579229",
            "country_code": "US",
            "telephone_number": "520-578-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Highway 550 Ste E3",
            "address_purpose": "LOCATION",
            "city": "Bernalillo",
            "state": "NM",
            "postal_code": "870045943",
            "country_code": "US",
            "telephone_number": "505-404-8652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28620 N El Mirage Rd Ste B102",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853832098",
            "country_code": "US",
            "telephone_number": "888-433-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 N Pioneer Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853405646",
            "country_code": "US",
            "telephone_number": "623-289-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JANELLE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rico, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.