Active NPI
Britni Jarecki, D.P.T.
- Physical Therapist
- Tempe, AZ
National Provider Identifier
1811264179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9602
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9602 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paso Robles Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Atascadero, CA
- NPI 1609414416
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.