Individual provider Active NPI

Jermaine Isip Saddi-Alvarez

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1992567622
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042896 Issued in NY
Practice address
900 N Switzer Canyon Dr Apt 145
Flagstaff, AZ 86001-4842
Phone
(929) 988-3007
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLC 161 clinicians
360 Physical Therapy LLC 87 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

1076 W Chandler Blvd
Suite 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240212000913 NY Practitioner - Physical Therapist in Private Practice 2163865767 Reassigns benefits to 1 organization
I20241107003219 AZ Practitioner - Physical Therapist in Private Practice 2163865767 Reassigns benefits to 2 organizations
I20260401004011 WA Practitioner - Physical Therapist in Private Practice 2163865767 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042896NYMDGeneral Practice Dentistry
LPT-033677AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy LLC CurrentSince Dec 15, 2025 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Aadya LLC Physical Therapist CurrentSince Sep 14, 2024 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Relivagain4Lyf LLC Physical Therapist Past Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

1239 E McKellips Rd
Ste 112
Mesa, AZ 85203
Phone (480) 588-7976

1239 E McKellips Rd
Mesa, AZ 85203
Phone (480) 588-7976

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-033677 AZ
Physical Therapist 225100000X 042896 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

900 N Switzer Canyon Dr Apt 145
Flagstaff, AZ 86001-4842

Mailing address

900 N Switzer Canyon Dr Apt 145
Flagstaff, AZ 86001-4842
Phone (929) 988-3007

Other practice location 1

21 Mill St
Liberty, NY 12754-2010
Phone (929) 988-3007

Other names 1

NPPES NPI Registry
  • Jermaine Saddi Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2026.

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1992567622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N SWITZER CANYON DR APT 145",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014842",
            "telephone_number": "929-988-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWITZER CANYON DR APT 145",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014842",
            "telephone_number": "929-988-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Mill St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127542010",
            "country_code": "US",
            "telephone_number": "929-988-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADDI-ALVAREZ",
        "first_name": "JERMAINE",
        "middle_name": "ISIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033677",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERMAINE",
            "last_name": "SADDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.