NPIMap

Organization Active NPI

JWG, Inc

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1467599035
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5005 Issued in AZ
Legal business name
JWG, INC
Practice address
844 N. Ellsworth
Mesa, AZ 85207-5114
Phone
(480) 380-2810
Fax
(480) 380-2861
NPI assigned
Jan 31, 2007
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Jann W. Goodman, PTNPI 1831144385
Title
President/Owner
Phone
(602) 321-1698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5005 AZ Primary

Addresses

Primary practice location

844 N. Ellsworth
Mesa, AZ 85207-5114

Mailing address

844 N. Ellsworth
Mesa, AZ 85207-5114
Phone (480) 380-2810

Other identifiers 1

IdentifierTypeStateIssuer
AZ0298870OtherAZBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1467599035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N. ELLSWORTH",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075114",
            "telephone_number": "480-380-2810",
            "fax_number": "480-380-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N. ELLSWORTH",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075114",
            "telephone_number": "480-380-2810",
            "fax_number": "480-380-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JANN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-321-1698",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0298870",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.