Jordon M. Cavanagh, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11786PT Issued in AZ

Practice address

2023 W Spur Dr
Phoenix, AZ 85085-1722

Phone

(559) 471-9972

NPI assigned

Sep 29, 2015

Last updated

May 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Movement & Mobility Expert, PLLC

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1063048031
  Authorized official Same address or phone

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1497125710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W SPUR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851722",
            "telephone_number": "559-471-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W SPUR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851722",
            "telephone_number": "559-471-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "JORDON",
        "middle_name": "M.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11786PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L Cavalle, N.D.
• Olga Cavallo Hart
• Cavanagh Anesthesia LTD
• Harry J Cavanagh Jr., M.D.
• Jacqueline Ayn Cavanagh, PHARM.D.
• Carolyn J Cavanaugh Toft, PH.D.
• Ellen Cavanaugh, APRN
• Terrence J Cavanaugh, MD
• Nicholas Cavaretta, PA-C
• Monica Camille Vinoya Cavarlez-Cowden, MD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.