Active NPI
Jonathan Eng
- Physical Therapist
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403 - Phone
- (520) 477-3130
- Fax
- (480) 885-1788
- NPI assigned
- Mar 1, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary | |
| Physical Therapist | 225100000X | 29326 | MD | |
| Physical Therapist | 225100000X | CP021791T | DE | |
| Physical Therapist | 225100000X | CP032875T | CO | |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
29 Atlantic Ave
Ocean View, DE 19970-9155
Phone (302) 541-5705
Other practice location 2
803 Lamoka Dr
Odenton, MD 21113-3663
Phone (866) 370-8206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE, AZ
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18773 S Nogales Hwy
Suite 105
Green Valley, AZ 85614-0403
Phone (520) 477-3130
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 |
|---|---|---|---|
| CP032875T | CO | MD | Physical Therapist |
| CP021791T | DE | MD | Physical Therapist |
| 29326 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
18773 S Nogales Hwy
Ste 105
Green Valley, AZ 85614
Phone (520) 477-3130
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
29 Atlantic Ave
Ocean View, DE 19970
Phone (302) 541-5705
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
Organizations & group practices 6
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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
Physical Therapist
-
dba Pivot Physical Therapy of Mid Atlantic, LLC
- Physical Therapist
- Seaford, DE
- NPI 1205875093
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
-
- 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": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1679272413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18773 S NOGALES HWY STE 105",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856140403",
"telephone_number": "520-477-3130",
"fax_number": "480-885-1788"
}
],
"practiceLocations": [
{
"address_1": "29 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Ocean View",
"state": "DE",
"postal_code": "199709155",
"country_code": "US",
"telephone_number": "302-541-5705",
"fax_number": "302-541-5706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "803 Lamoka Dr",
"address_purpose": "LOCATION",
"city": "Odenton",
"state": "MD",
"postal_code": "211133663",
"country_code": "US",
"telephone_number": "866-370-8206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENG",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29326",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "CP021791T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP032875T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.