Active NPI
Jenna Kay Mahdi, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31031
- Practice address
- 3700 N 24TH St Ste 230
Phoenix, AZ 85016-6526 - Phone
- (480) 821-1997
- Fax
- (480) 821-2536
- NPI assigned
- Jan 13, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-31031 | AZ | Primary |
Addresses
Primary practice location
3700 N 24TH St Ste 230
Phoenix, AZ 85016-6526
Mailing address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Phone (480) 821-1997
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)
3141 S McClintock Dr
Suite 2
Tempe, AZ 85282-5682
Phone (480) 566-8125
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31031 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Shelley McClellan PT PLLC | Physical Therapist | Current | Accepting new patients |
| Camelback Sports Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965
4800 N 44th St
Phoenix, AZ 85018
Phone (602) 808-8989
100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989
3141 S McClintock Dr
Ste 2
Tempe, AZ 85282
Phone (480) 566-8125
6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825
8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
Interoperability endpoints
- jenna.mahdi.p6@direct.athleticoltd.nextgenshare.com
Organizations & group practices 4
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 1255426318
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1679822894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1669012175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 W CHANDLER BLVD STE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245223",
"telephone_number": "480-821-1997",
"fax_number": "480-821-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N 24TH ST STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166526",
"telephone_number": "480-821-1997",
"fax_number": "480-821-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHDI",
"first_name": "JENNA",
"middle_name": "KAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.