Active NPI
Jo Ellen Caldwell, M.S., P.T.,A.T.,C.
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3543
- 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, 2008
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386864262 | Other | AZ | BCBS |
| 2Z7238 | Other | HEALTHNET | |
| 208737315 | Other | TRICARE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3543 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Grulke, PLLC | Current | 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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1386864262
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.