Individual provider Active NPI

Jennifer Tolle, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1780458679
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033435 Issued in AZ
Practice address
555 E Ajo Way
Tucson, AZ 85713-6104
Phone
(520) 638-2150
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41040 FL
Physical Therapist 225100000X 033435 AZ Primary

Addresses

Primary practice location

555 E Ajo Way
Tucson, AZ 85713-6104

Mailing address

540 Klamath St NE
Palm Bay, FL 32907-1350
Phone (321) 480-8572

Other practice location 1

1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269
Phone (520) 485-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240318001020 AZ Practitioner - Physical Therapist in Private Practice 9234576943 Reassigns benefits to 1 organization
I20250522000393 TX Practitioner - Physical Therapist in Private Practice 9234576943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033435AZMDPhysical Therapist
41040FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Jun 2, 2025 Accepting new patients
Bodycentral Physical Therapy P C CurrentSince Feb 4, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Bodycentral Physical Therapy PC CurrentSince Feb 4, 2024 Accepting new patients
Dilkon Medical Center CurrentSince Jun 2, 2025 Accepting new patients

Locations

1231 W Warner Rd
Ste 101
Tempe, AZ 85284
Phone (623) 250-3223

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

Organizations & group practices 5

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1780458679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 KLAMATH ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071350",
            "telephone_number": "321-480-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136104",
            "telephone_number": "520-638-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 E Ajo Way Ste 149",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136269",
            "country_code": "US",
            "telephone_number": "520-485-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41040",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.