Active NPI
Jean Marie Traitz
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-033576
- Practice address
- 5803 W Northern Ave Ste 110
Glendale, AZ 85301-1362 - Phone
- (623) 295-3699
- NPI assigned
- Sep 13, 2023
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40792 | FL | |
| Physical Therapist | 225100000X | LPT-033576 | AZ | Primary |
Addresses
Primary practice location
5803 W Northern Ave Ste 110
Glendale, AZ 85301-1362
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
943 Pine Log Rd
Aiken, SC 29803-7330
Phone (803) 649-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL
Enrollment records 2
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
Practice addresses (Care Compare)
17900 NW 5TH St
Suite 102
Pembroke Pines, FL 33029-2809
Phone (305) 405-0400
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-033576 | AZ | MD | Physical Therapist |
| PT40792 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Rehabilitation Center | Current | Accepting new patients | |
| Atlantic Rehabilitation Center | Current | Accepting new patients | |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
5803 W Northern Ave
Ste 110
Glendale, AZ 85301
Phone (623) 295-3699
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611
17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733
790 Remington Blvd
Bolingbrook, IL 60440
Organizations & group practices 4
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.
-
- Rehabilitation Practitioner
- Davie, FL
- NPI 1003973967
-
- Rehabilitation Practitioner
- Aventura, FL
- NPI 1366509200
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1851178818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 W NORTHERN AVE STE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853011362",
"telephone_number": "623-295-3699"
}
],
"practiceLocations": [
{
"address_1": "943 Pine Log Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298037330",
"country_code": "US",
"telephone_number": "803-649-9797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAITZ",
"first_name": "JEAN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT40792",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-033576",
"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 Aug 7, 2024; 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.