Individual provider Active NPI

Jodi T Pearce, P.T.

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1699890731
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5371 Issued in AZ
Practice address
6641 E Baywood Ave Ste A4
Mesa, AZ 85206-1723
Phone
(480) 396-9020
Fax
(480) 218-9182
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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 5371 AZ Primary

Addresses

Primary practice location

6641 E Baywood Ave Ste A4
Mesa, AZ 85206-1723

Mailing address

4650 E Cotton Center Blvd Ste 155
Phoenix, AZ 85040-4803
Phone (602) 892-0915

Other practice location 1

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224-5225
Phone (480) 821-1997

Other names 1

  • Jodi S Troy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000179 AZ Practitioner - Physical Therapist in Private Practice 9537318258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Physical Therapy PLCGroup PAC ID 6103815212, 13 clinicians

Practice addresses (Care Compare)

2500 S Power Rd
Suite 123
Mesa, AZ 85209-6688
Phone (480) 218-1344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5371AZMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2019 Accepting new patients
Moore Physical Therapy PLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
360 Physical Therapy LLC Past Accepting new patients

Locations

6021 S Kings Ranch Rd
Ste 5
Gold Canyon, AZ 85118
Phone (480) 218-1344

2500 S Power Rd
Ste 123
Mesa, AZ 85209
Phone (480) 218-1344

1331 N 7th St
Ste 100
Phoenix, AZ 85006
Phone (602) 222-2234

1300 N 12th St
Ste 506
Phoenix, AZ 85006
Phone (602) 230-4478

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1699890731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 E COTTON CENTER BLVD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850404803",
            "telephone_number": "602-892-0915",
            "fax_number": "602-926-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE STE A4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-396-9020",
            "fax_number": "480-218-9182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 W Chandler Blvd",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245225",
            "country_code": "US",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "JODI",
        "middle_name": "T",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "TROY",
            "middle_name": "S",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.

Verify at the official NPI Registry.