Active NPI
Kendrich Jeremy Nagel, PT, DPT
- Physical Therapist
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32133
- Practice address
- 1828 E Florence Blvd Ste 102
Casa Grande, AZ 85122-4783 - Phone
- (520) 510-0360
- NPI assigned
- Jan 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-32133 | AZ | Primary |
Addresses
Primary practice location
1828 E Florence Blvd Ste 102
Casa Grande, AZ 85122-4783
Mailing address
2400 N Arizona Ave Apt 3020
Chandler, AZ 85225-1267
Phone (208) 691-2999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 W Central Ave
Coolidge, AZ 85128-4708
Phone (520) 424-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-32133 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| Kinect Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730
403 W Central Ave
Coolidge, AZ 85128
Phone (520) 424-2222
11851 N 51st Ave
Unit 110
Glendale, AZ 85304
21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829
4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200
Organizations & group practices 2
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.
-
- Physical Therapist
- Chandler, AZ
- NPI 1811265929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1801547666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N ARIZONA AVE APT 3020",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251267",
"telephone_number": "208-691-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 E FLORENCE BLVD STE 102",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224783",
"telephone_number": "520-510-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "KENDRICH",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.