Individual provider Active NPI

Taylor Jezuit, PT, DPT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1760160626
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33000 Issued in AZ
Practice address
14270 W Indian School Rd Ste C4
Goodyear, AZ 85395-9201
Phone
(623) 440-4445
Fax
(623) 440-5558
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 LPT-33000 AZ Primary

Addresses

Primary practice location

14270 W Indian School Rd Ste C4
Goodyear, AZ 85395-9201

Mailing address

14270 W Indian School Rd Ste C4
Goodyear, AZ 85395-9201
Phone (162) 344-0444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809004187 AZ Practitioner - Physical Therapist in Private Practice 1951763812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Physical Therapy LLCGroup PAC ID 5092147314, 2 clinicians

Practice addresses (Care Compare)

14270 W Indian School Rd
Suite C4
Goodyear, AZ 85395-9201
Phone (623) 440-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Physical Therapy, LLC Physical Therapist CurrentSince Jun 21, 2023 Accepting new patients

Locations

14270 W Indian School Rd
Ste C4
Goodyear, AZ 85395
Phone (623) 440-4445

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1760160626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14270 W INDIAN SCHOOL RD STE C4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959201",
            "telephone_number": "162-344-0444",
            "fax_number": "623-440-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14270 W INDIAN SCHOOL RD STE C4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959201",
            "telephone_number": "623-440-4445",
            "fax_number": "623-440-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZUIT",
        "first_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.