Jessica L Tallent, M.O.T OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5350 Issued in AZ

Practice address

14557 W Indian School Rd Ste 500
Goodyear, AZ 85395-9243

Phone

(623) 229-7808

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  Medicare reassignment NPD

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1851723027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243",
            "telephone_number": "623-229-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD STE 500",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243",
            "telephone_number": "623-229-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLENT",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "M.O.T OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacilyn Tadin, FNP-C
• Danielle Placencia Tafoya, NP
• Sydney Ann Elise Taie
• Sarah Keiko Hatsue Takahashi, DDS
• Brittany Talal
• Derrick Talley, DPT
• Craig M Tambatamba, PA-C
• Yu Tung Tan
• Pierrette Marie Ange Tantchou Dsamou, M.D.
• Dennis Tatu, FNP-BC

• Occupational Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.