Organization Active NPI

Chain Reaction Physical Therapy

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1386390334
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHAIN REACTION PHYSICAL THERAPY
Practice address
621 Miller Valley Rd Ste a
Prescott, AZ 86301-2315
Phone
(928) 379-6390
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Jessica Duppler, DPTNPI 1497304596
Title
Physical Therapist
Phone
(920) 915-3556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

621 Miller Valley Rd Ste a
Prescott, AZ 86301-2315

Mailing address

1402 N Skyline Dr
Prescott, AZ 86305-7228

National Provider Directory

National Provider Directory

Locations

621 Miller Valley Rd
#A
Prescott, AZ 86301
Phone (928) 379-6390

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1386390334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N SKYLINE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MILLER VALLEY RD STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012315",
            "telephone_number": "928-379-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIN REACTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "DUPPLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "920-915-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.