Individual provider Active NPI

Jennifer Landeros Torres, DPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1841981412
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32974 Issued in AZ
Practice address
5281 N 99TH Ave Ste 200
Glendale, AZ 85305-3199
Phone
(623) 889-0411
Fax
(623) 889-0410
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 32974 AZ Primary

Addresses

Primary practice location

5281 N 99TH Ave Ste 200
Glendale, AZ 85305-3199

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (480) 937-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524003621 AZ Practitioner - Physical Therapist in Private Practice 9931565439 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Sports Medicine LLCGroup PAC ID 6800228479, 40 clinicians
Impact Physical Therapy LLCGroup PAC ID 4789978735, 11 clinicians

Practice addresses (Care Compare)

12515 W Bell Rd
Suite 103
Surprise, AZ 85378-9702
Phone (480) 306-6627

5281 N 99TH Ave
Suite 200
Glendale, AZ 85305-3199
Phone (623) 889-0411

7727 W Deer Valley Rd
Suite 210
Peoria, AZ 85382-2120
Phone (623) 208-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32974AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince May 15, 2023 Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Current Accepting new patients
Impact Physical Therapy LLC Physical Therapist CurrentSince Feb 18, 2024 Accepting new patients
Impact Physical Therapy - 2 LLC CurrentSince May 15, 2024 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients

Locations

5281 N 99th Ave
Ste 200
Glendale, AZ 85305
Phone (623) 889-0411

7727 W Deer Valley Rd
Ste 210
Peoria, AZ 85382
Phone (623) 208-7575

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

20801 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (623) 208-7575

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1841981412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-937-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053199",
            "telephone_number": "623-889-0411",
            "fax_number": "623-889-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JENNIFER LANDEROS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.

Verify at the official NPI Registry.