Active NPI
Jennifer Christine Conti, P.T.
- Pediatric Physical Therapist
- Phoenix, AZ
National Provider Identifier
1609917533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5797
- Practice address
- 2601 E Thomas Rd
Suite 105
Phoenix, AZ 85016-8221 - Phone
- (602) 424-9880
- Fax
- (602) 445-5210
- NPI assigned
- Feb 12, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5797 | AZ | Primary |
Addresses
Primary practice location
2601 E Thomas Rd
Suite 105
Phoenix, AZ 85016-8221
Mailing address
1802 E. Parkside LN
Phoenix, AZ 85027
Phone (602) 943-5472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812661 | Medicaid | AZ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5797 | AZ | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Therapy Services, Inc | Past | Accepting new patients | |
| Sunrise Therapy Services, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Practitioner
- Phoenix, AZ
- NPI 1033113501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1609917533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 E. PARKSIDE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85027",
"telephone_number": "602-943-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E THOMAS RD",
"address_2": "SUITE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168221",
"telephone_number": "602-424-9880",
"fax_number": "602-445-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "5797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812661",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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- Megan Conti Mica
- Louis Conti, D.D.S.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.