Carleen Jogodka, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6446 Issued in AZ

Practice address

850 N Kolb Rd
Tucson, AZ 85710-1333

Phone

(520) 885-5125

NPI assigned

May 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bellin Memorial Hospital Inc

  • Family Medicine Physician
  • Brillion, WI
  • NPI 1962464784
  NPD (past)

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1720434079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 E CAMINO DE LOS OLIVOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183716",
            "telephone_number": "612-747-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101333",
            "telephone_number": "520-885-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOGODKA",
        "first_name": "CARLEEN",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6446",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jobe, RN
• Megann Jobson, PA-C
• Caitlyn Jodon, MS, CF-SLP
• Allyssa Joe
• Leonard Joffe, MD
• Timothy David Johanson, M.D.
• Meghan Johansson, RDN
• John Bentley MD PC
• John C Titone PHD PC
• John C. Medlen, M.D., P.C.

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.