Jackson Tate Nordbeck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-034190 Issued in AZ

Practice address

4015 S Arizona Ave Ste C2
Chandler, AZ 85248-4586

Phone

(480) 426-8019

NPI assigned

Jun 26, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1952299034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 S LAKESHORE DR APT 230",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S ARIZONA AVE STE C2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484586",
            "telephone_number": "480-426-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDBECK",
        "first_name": "JACKSON",
        "middle_name": "TATE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034190",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Noel, DPT
• Erica N Noffke, PHARMD
• Lauren Christene Noga, M.S. CFY-SLP
• Ryan Nolcheff, MD
• Sarah Norbeck, PSY.D.
• Nordstrom Inc & Subsidiaries
• Samantha Ingrid Norem
• Jennifer Noreus, LPC
• Heather Noriega
• Rochelle Leigh Norman, MED, BCBA, LBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.