Individual provider Active NPI

Jessica J Diaz-Tovar, PT, DPT

  • Orthopedic Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1457596009
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8303 Issued in AZ
Practice address
2603 E Saddlebrook Rd
Gilbert, AZ 85298-7498
Phone
(520) 603-1538
Fax
(480) 452-1517
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8303 AZ Primary
Physical Therapist 225100000X 8303 AZ

Addresses

Primary practice location

2603 E Saddlebrook Rd
Gilbert, AZ 85298-7498

Mailing address

2603 E Saddlebrook Rd
Gilbert, AZ 85298-7498
Phone (520) 603-1538

Other practice location 1

1505 E Willis Rd
Gilbert, AZ 85297-2930
Phone (480) 691-7176 ext. 02985

Other identifiers 1

IdentifierTypeStateIssuer
423381MedicaidAZ

Other names 1

  • Jessica J Diaz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000633 AZ Practitioner - Physical Therapist in Private Practice 1153471537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2603 E Saddlebrook Rd
Gilbert, AZ 85298-7498
Phone (520) 603-1538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8303AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Ace PLLC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

3001 Spring Forest Rd
Raleigh, NC 27616
Phone (910) 724-7770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1457596009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 E SADDLEBROOK RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987498",
            "telephone_number": "520-603-1538",
            "fax_number": "480-452-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 E SADDLEBROOK RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987498",
            "telephone_number": "520-603-1538",
            "fax_number": "480-452-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 E Willis Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852972930",
            "country_code": "US",
            "telephone_number": "480-691-7176 x02985",
            "fax_number": "480-452-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ-TOVAR",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "8303",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423381",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DIAZ",
            "middle_name": "J",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.