Individual provider Active NPI

Jessica Duppler, DPT

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1497304596
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30847 Issued in AZ
Practice address
621 Miller Valley Rd Unit a
Prescott, AZ 86301-2315
Phone
(928) 379-6390
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 30847 AZ Primary

Addresses

Primary practice location

621 Miller Valley Rd Unit a
Prescott, AZ 86301-2315

Mailing address

1402 N Skyline Dr
Prescott, AZ 86305-7228
Phone (928) 379-6390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30847AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chain Reaction Physical Therapy Physical Therapist CurrentSince Mar 6, 2022 Accepting new patients

Locations

140 N Granite St
Prescott, AZ 86301
Phone (928) 298-3349

621 Miller Valley Rd
#A
Prescott, AZ 86301
Phone (928) 379-6390

Organizations & group practices 1

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1497304596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N SKYLINE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057228",
            "telephone_number": "928-379-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MILLER VALLEY RD UNIT A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012315",
            "telephone_number": "928-379-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPPLER",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.