Jessica Keeler Tate, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10215 Issued in AZ

Practice address

20830 N Tatum Blvd
Suite 115
Phoenix, AZ 85050-7256

Phone

(480) 473-1200

Fax

(480) 473-1250

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Sport Rehab Specialists at Anthem LLCGroup PAC ID 8527961978, 32 clinicians

Brian F Gruber MD LTDGroup PAC ID 5294046231, 8 clinicians

Practice addresses (Care Compare)

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.

• Brian F. Gruber, M.D., LTD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
  • NPI 1700284791
  Medicare reassignment Care Compare group NPD
• Orthopedic & Sport Rehab Specialists at Anthem, LLC

  • Physical Therapist
  • Anthem, AZ
  • NPI 1821109356
  Medicare reassignment Care Compare group
• Neurosurgical Associates, LTD

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1043202484
  NPD (past)
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1306925805
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1932471737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "SUITE B-200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "602-483-1710",
            "fax_number": "480-272-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20830 N TATUM BLVD",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507256",
            "telephone_number": "480-473-1200",
            "fax_number": "480-473-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JESSICA",
        "middle_name": "KEELER",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38629",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "10215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Tate, PA-C
• Corey Michael Tate, LMT
• Frances Ann Tate, GUIDANCE COUNSELOR
• Hazel Marie Tate, NURSE PRACTITIONER
• Janet Mary Tate, RNFA
• Kylee Rose Tate, PA-C
• Makenzie Tate, DO
• Sachiko Tate, LCSW
• Tylissa Tate, LCSW
• Winter Lucia Tate, DO

• Orthopedic Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.