Individual provider Active NPI

Jo Ellen Caldwell, M.S., P.T.,A.T.,C.

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1427178953
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3543 Issued in AZ
Practice address
2020 W Whispering Wind Dr
#119
Phoenix, AZ 85085-2848
Phone
(623) 889-3480
Fax
(623) 889-3481
NPI assigned
Mar 29, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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 3543 AZ Primary

Addresses

Primary practice location

2020 W Whispering Wind Dr
#119
Phoenix, AZ 85085-2848

Mailing address

20031 N 39TH Ave
Glendale, AZ 85308-2299
Phone (602) 796-5425

Other identifiers 3

IdentifierTypeStateIssuer
1386864262OtherAZBCBS
2Z7238OtherHEALTHNET
208737315OtherTRICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000554 AZ Practitioner - Physical Therapist in Private Practice 6800987371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3543AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Grulke, PLLC CurrentSince Jun 13, 2020 Accepting new patients
Northcutt Physical Therapy PLLC Physical Therapist Past Accepting new patients
Peggy Langley Past Accepting new patients

Locations

2248 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 899-9484

2950 N Dobson Rd
Ste 3
Chandler, AZ 85224
Phone 4809350614407

5750 W Thunderbird Rd
Ste E500
Glendale, AZ 85306
Phone (602) 938-6960

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1427178953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20031 N 39TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082299",
            "telephone_number": "602-796-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W WHISPERING WIND DR",
            "address_2": "#119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852848",
            "telephone_number": "623-889-3480",
            "fax_number": "623-889-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.S., P.T.,A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1386864262",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z7238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "208737315",
            "state": null
        }
    ],
    "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 Apr 22, 2008; 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.