Individual provider Active NPI

Jesse A Cartagena

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1417626904
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
375 E Virginia Ave
Phoenix, AZ 85004-1202
Phone
(602) 264-0443
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 Primary

Addresses

Primary practice location

375 E Virginia Ave
Phoenix, AZ 85004-1202

Mailing address

2526 N Richland St
Phoenix, AZ 85006-1052
Phone (765) 412-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AZ, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240727000535 MD Practitioner - Physical Therapist in Private Practice 6103362090 Reassigns benefits to 1 organization
I20250115001163 AZ Practitioner - Physical Therapist in Private Practice 6103362090 Reassigns benefits to 3 organizations
I20260513001455 NJ Practitioner - Physical Therapist in Private Practice 6103362090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

454 Passaic St
Hackensack, NJ 07601-1519
Phone (201) 488-7905

5281 N 99TH Ave
Suite 200
Glendale, AZ 85305-3199
Phone (623) 889-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Jan 7, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Jan 7, 2025 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Aug 11, 2025 Accepting new patients

Locations

5281 N 99th Ave
Ste 200
Glendale, AZ 85305
Phone (623) 889-0411

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

375 E Virginia Ave
Ste B
Phoenix, AZ 85004
Phone (602) 264-0443

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

13794 W Waddell Rd
Ste 204205
Surprise, AZ 85379
Phone (623) 224-2161

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 10

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1417626904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 N RICHLAND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061052",
            "telephone_number": "765-412-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041202",
            "telephone_number": "602-264-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAGENA",
        "first_name": "JESSE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.