Individual provider Active NPI

Britni Jarecki, D.P.T.

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1811264179
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9602 Issued in AZ
Practice address
3322 S Mill Ave
Tempe, AZ 85282-4933
Phone
(480) 838-4478
Fax
(480) 838-7839
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 9602 AZ Primary

Addresses

Primary practice location

3322 S Mill Ave
Tempe, AZ 85282-4933

Mailing address

959 Las Tablas Rd
Ste A4
Templeton, CA 93465-9703
Phone (480) 688-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9602AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paso Robles Physical Therapy Inc Physical Therapist PastSince Mar 6, 2020 Accepting new patients

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1811264179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 LAS TABLAS RD",
            "address_2": "STE A4",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659703",
            "telephone_number": "480-688-5859",
            "fax_number": "480-452-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824933",
            "telephone_number": "480-838-4478",
            "fax_number": "480-838-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARECKI",
        "first_name": "BRITNI",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.