Individual provider Active NPI

Jessica Rose Raybe, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1982364337
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4440 N 36TH St Ste 240
Phoenix, AZ 85018-3592
Phone
(602) 956-4040
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4440 N 36TH St Ste 240
Phoenix, AZ 85018-3592

Mailing address

9376 E Bahia Dr
Scottsdale, AZ 85260-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307000887 AZ Practitioner - Physical Therapist in Private Practice 9931593092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endurance Rehabilitation LLCGroup PAC ID 6103861687, 13 clinicians

Practice addresses (Care Compare)

4440 N 36TH St
Suite 240
Phoenix, AZ 85018-3592
Phone (602) 956-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Endurance Rehabilitation LLC CurrentSince Jan 2, 2022 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist PastSince Jan 2, 2022 Accepting new patients

Locations

4440 N 36th St
Ste 240
Phoenix, AZ 85018
Phone (602) 956-4040

9376 E Bahia Dr
Scottsdale, AZ 85260
Phone (480) 556-8406

9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1982364337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183592",
            "telephone_number": "602-956-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBE",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.