Active NPI
Jisha Varughese, DPT
- Physical Therapist
- Laveen, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-034130
- Practice address
- 5885 W Baseline Rd Ste 110
Laveen, AZ 85339-3097 - Phone
- (602) 830-9083
- Fax
- (602) 281-7247
- NPI assigned
- Feb 9, 2023
- 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 | LPT-034130 | AZ | Primary |
Addresses
Primary practice location
5885 W Baseline Rd Ste 110
Laveen, AZ 85339-3097
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Other practice location 1
1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563
Phone (520) 719-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 E Tucson Marketplace Blvd
Suite 155
Tucson, AZ 85713-6563
Phone (520) 822-8640
5885 W Baseline Rd
Laveen, AZ 85339-3096
Phone (602) 830-9083
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-034130 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965
5885 W Baseline Rd
Ste 110
Laveen, AZ 85339
Phone (602) 830-9083
5885 W Baseline Rd
Laveen, AZ 85339
Phone (602) 830-9083
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430
1065 E Tucson Marketplace Blvd
Ste 155
Tucson, AZ 85713
Phone (520) 719-4210
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490
6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786
12747 Midway Rd
Ste 150
Dallas, TX 75244
Phone (469) 872-4562
6029 Forest Ln
Dallas, TX 75230
Phone (469) 872-7548
4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461
9660 Audelia Rd
Ste 101
Dallas, TX 75238
Phone (214) 273-0510
14999 Preston Rd
Ste 108C
Dallas, TX 75254
Phone (214) 231-4154
308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606
210 W Campbell Rd
Richardson, TX 75080
Phone (469) 709-4178
Interoperability endpoints
- jisha.varughese.p6@direct.athleticoltd.nextgenshare.com
Organizations & group practices 7
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
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Physical Therapist
- Lemont, IL
- NPI 1780890590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1821795931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 W BASELINE RD STE 110",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393097",
"telephone_number": "602-830-9083",
"fax_number": "602-281-7247"
}
],
"practiceLocations": [
{
"address_1": "1065 E Tucson Marketplace Blvd Ste 155",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857136563",
"country_code": "US",
"telephone_number": "520-719-4210",
"fax_number": "520-822-8641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARUGHESE",
"first_name": "JISHA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-034130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.