MRS. JENNIFER LYNN DISALVO (NPI# 1831253160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831253160 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNN DISALVO |
| Credential | PT |
| Practice Address |
13055 W Mcdowell Rd Ste G107 Avondale AZ 85323-6450 |
| Mailing Address |
14578 W Cortez St Surprise AZ 85379-4431 |
| Practice Telephone | 6235474787 |
| Practice Fax Number | 6235474788 |
| Mailing Telephone | 6235379779 |
| Mailing Fax Number | 6235379779 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7504 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13055 W MCDOWELL RD STE G107 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-6450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453204 | Jacob Berard | Physical Therapist | 13055 W Mcdowell Rd Ste G107, Avondale, AZ 85392-6450 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588878003 | Steven M Goodman | Physical Therapist | 10320 W Mcdowell Rd, Building H Suite 8025, Avondale, AZ 85323-4863 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164505 | Imove Health LLC | Physical Therapist | 1054 S Fargo St, Chandler, AZ 85286-1078 | 2020-11-05 |
| 1457984841 | Caleb Lynch | Physical Therapist | 1055 N La Canada Dr Ste 123, Green Valley, AZ 85614-3700 | 2020-02-13 |
| 1790315992 | Kaylea Davis | Physical Therapist | 1675 E Melrose St, Gilbert, AZ 85297-1001 | 2020-01-16 |
| 1124667860 | Stephanie Laura Mundt | Physical Therapist | 10665 E Le Marche Dr, Scottsdale, AZ 85255-1925 | 2019-12-28 |
| 1932755808 | Nathanial David Phillips | Physical Therapist | 41125 N Daisy Mountain Dr Ste 121, Anthem, AZ 85086-4964 | 2019-08-15 |
| 1659937563 | Daniel Cooper | Physical Therapist | 20242 N 29th Pl, Phoenix, AZ 85050-4711 | 2019-05-15 |
| 1649836552 | Zachary Allen Cash | Physical Therapist | 20940 N Tatum Blvd Ste B290, Phoenix, AZ 85050-4265 | 2019-05-15 |
| 1578035630 | Premier Fitness Systems LLC | Physical Therapist | 7267 E Adobe Dr Ste 101, Scottsdale, AZ 85255-4032 | 2018-12-28 |
| 1053806729 | Melanie Topete | Physical Therapist | 2525 S Rural Rd Ste 5s, Tempe, AZ 85282-2444 | 2018-06-26 |
| 1104318344 | Freddy Ruiz Jr. | Physical Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2018-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.