Jessica Lynn Taintor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

18301 N 79TH Ave
Ste B122
Glendale, AZ 85308-8469

Phone

(623) 486-3333

Fax

(623) 486-3355

NPI assigned

Aug 17, 2023

Last updated

Aug 30, 2023By the provider in NPPES

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

Other names 1

• Jessica Lynn Maddox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enhanced Physical Therapy

  • Physical Therapist
  • Glendale, AZ
  • NPI 1013963487
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1942083480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "STE B122",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088469",
            "telephone_number": "623-486-3333",
            "fax_number": "623-486-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "STE B122",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088469",
            "telephone_number": "623-486-3333",
            "fax_number": "623-486-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAINTOR",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MADDOX",
            "middle_name": "LYNN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Tafoya, PMHNP-BC
• Patrick Tafoya, MD
• Arlene Tagalicud-Benitez, D.D.S.
• Rachel Tague, RDH
• Tailored 2 U Psychiatry, PLLC (Margarita Madrid DBA Tailored 2 U Pscyhiatry, PLLC)
• Taking Root Counseling LLC
• Olysia N Takla, DMD
• Angelita Maria Talamantes, OTR/L
• Ruchi Talanki, RDN
• Mireya Talavera, PHARM D.

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.