Active NPI
Jordan Craig Ribota, PT, DPT
- Physical Therapist
- Buckeye, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30810
- Practice address
- 825 S Watson Rd Ste 106
Buckeye, AZ 85326-3435 - Phone
- (623) 207-4015
- Fax
- (623) 471-8746
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30810 | AZ | Primary |
Addresses
Primary practice location
825 S Watson Rd Ste 106
Buckeye, AZ 85326-3435
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
23374 W Yuma Rd
Buckeye, AZ 85326-3118
Phone (623) 242-6908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
825 S Watson Rd
Suite 106
Buckeye, AZ 85326-3435
Phone (480) 296-2987
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30810 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Current | Accepting new patients | |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
21250 W Roosevelt St
Ste 209
Buckeye, AZ 85326
Phone (480) 504-1532
23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260
23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462
825 S Watson Rd
Ste 106
Buckeye, AZ 85326
Phone (623) 207-4015
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
9980 W Glendale Ave
Ste 110
Glendale, AZ 85307
Phone (623) 226-8804
14535 W Indian School Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 734-5544
14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
2302 N 15th Ave
Phoenix, AZ 85007
Phone (602) 265-4124
16811 N Litchfield Rd
Ste 101
Surprise, AZ 85374
Phone (602) 313-4045
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1629623657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S WATSON RD STE 106",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853263435",
"telephone_number": "623-207-4015",
"fax_number": "623-471-8746"
}
],
"practiceLocations": [
{
"address_1": "23374 W Yuma Rd",
"address_purpose": "LOCATION",
"city": "Buckeye",
"state": "AZ",
"postal_code": "853263118",
"country_code": "US",
"telephone_number": "623-242-6908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIBOTA",
"first_name": "JORDAN",
"middle_name": "CRAIG",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "30810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.