Active NPI
Jeanette D Giatroudakis, DPT
- Physical Therapist
- Litchfield Park, AZ
National Provider Identifier
1912460254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30022
- Practice address
- 14044 W Camelback Rd Ste 120
Litchfield Park, AZ 85340-9428 - Phone
- (623) 846-7614
- Fax
- (623) 846-0993
- NPI assigned
- Apr 12, 2019
- 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-30022 | AZ | Primary |
Addresses
Primary practice location
14044 W Camelback Rd Ste 120
Litchfield Park, AZ 85340-9428
Mailing address
PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 772-3800
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 |
|---|---|---|---|
| LPT-30022 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1912460254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271429",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841271429",
"telephone_number": "602-772-3800",
"fax_number": "602-772-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 120",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409428",
"telephone_number": "623-846-7614",
"fax_number": "623-846-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIATROUDAKIS",
"first_name": "JEANETTE",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.