Active NPI
Joshua Jenks, DPT
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212458
- Practice address
- 1076 W Chandler Blvd
103
Chandler, AZ 85224-5225 - Phone
- (480) 821-1997
- NPI assigned
- Sep 2, 2016
- Last updated
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 12491 | AZ | |
| Physical Therapist | 225100000X | 2305212458 | VA | Primary |
Addresses
Primary practice location
1076 W Chandler Blvd
103
Chandler, AZ 85224-5225
Mailing address
8644 Sudley Rd Ste 308
Manassas, VA 20110-4425
Phone (571) 292-9910
Other practice location 1
8644 Sudley Rd Ste 308
Manassas, VA 20110-4425
Phone (571) 292-9910
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 |
|---|---|---|---|
| 12491 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| 360 Physical Therapy, LLC | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
3530 S Val Vista Dr
Ste 102
Gilbert, AZ 85297
Phone (480) 719-4750
25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248
Phone (480) 883-6734
Organizations & group practices 2
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.
-
- Specialist
- Scottsdale, AZ
- NPI 1932430949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1871040279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8644 SUDLEY RD STE 308",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104425",
"telephone_number": "571-292-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 W CHANDLER BLVD",
"address_2": "103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245225",
"telephone_number": "480-821-1997"
}
],
"practiceLocations": [
{
"address_1": "8644 Sudley Rd Ste 308",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104425",
"country_code": "US",
"telephone_number": "571-292-9910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKS",
"first_name": "JOSHUA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-02",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12491",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.