Jeff Kitchen, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AZ2214 Issued in AZ

Legal business name

JEFF KITCHEN, INC.

Doing business as

Rehab Plus Sports Therapy

Practice address

10121 E Bell Rd
Suite 140
Scottsdale, AZ 85260-2187

Phone

(480) 419-3500

Fax

(480) 419-3522

NPI assigned

Apr 26, 2007

Last updated

Jan 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi Dawn Kitchen, PTANPI 1386942852

Title

Office Manager

Phone

(480) 415-0444

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Rehab Plus Sports Therapy Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristi D Kitchen, PTA

  • Physical Therapy Assistant
  • Scottsdale, AZ
  • NPI 1386942852
  NPD Authorized official
• Lauren Hayes

  • Physical Therapy Assistant
  • Scottsdale, AZ
  • NPI 1518204825
  NPD (past)
• Logan Jon Sullivan, PT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1063892438
  NPD (past)
• Shelley Vaszar, PT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1801062484
  NPD (past)
• Denise Marie White, P.T.

  • Orthopedic Physical Therapist
  • Scottsdale, AZ
  • NPI 1922289255
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1730309204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18607",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852698607",
            "telephone_number": "480-415-0444",
            "fax_number": "480-419-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 E BELL RD",
            "address_2": "SUITE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602187",
            "telephone_number": "480-419-3500",
            "fax_number": "480-419-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF KITCHEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-415-0444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "AZ2214",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "AZ2214",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "AZ2214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ NUMBER",
            "identifier": "0461600",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER NUMBER",
            "identifier": "2Z0057",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7228691",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969371",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Plus Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehab Plus Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jaxson Jeffery, MD
• Jeffre J. Benson, MD PC
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• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.