JARAD COLEMAN BRISBIN (NPI# 1003300963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003300963 |
Entity Type | Individual |
Full Name | JARAD COLEMAN BRISBIN |
Credential | DPT |
Practice Address |
5750 S 32nd St Phoenix AZ 85040-3833 |
Mailing Address |
9097 E Desert Cove Ave Ste 110 Scottsdale AZ 85260-6276 |
Practice Telephone | 6024375055 |
Mailing Telephone | 4805514948 |
Mailing Fax Number | 4808600356 |
Enumeration Date | 2018-06-14 |
Last Update Date | 2019-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
LPT30083 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5750 S 32ND ST |
City | PHOENIX |
State | AZ |
Zip Code | 85040-3833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881736585 | Brenton Jay Fischer | Physical Therapist | 5750 S 32nd St, Phoenix, AZ 85040 | 2007-02-12 |
1437705688 | Nicholas Alan Thomas | Specialist/Technologist | 5750 S 32nd St, Phoenix, AZ 85040-3833 | 2019-08-14 |
1740322445 | Keisuke Kanno | Physical Therapist | 5750 S 32nd St, Phoenix, AZ 85040 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
Find all providers in zip 85040 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
1952665721 | Tamara Gerry Nicholson | Physical Therapist | 4440 N 36th St Ste 240, Phoenix, AZ 85018-3592 | 2012-06-27 |
1306997580 | Keith James Pritchette | Physical Therapist | 4730 E Warner Rd Ste 10, Phoenix, AZ 85044-3320 | 2007-01-15 |
1467523381 | Richard Charles Elsner | Physical Therapist | 2222 East Highland Ave, Suite 310, Phoenix, AZ 85016-4879 | 2006-11-13 |
1275584567 | Justin M Sampley | Physical Therapist | 425 E Pinnacle Peak Rd, Phoenix, AZ 85024-5657 | 2006-05-12 |
1760039515 | Keegan Ross | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2019-08-26 |
1013495621 | Hannah Breck | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2018-08-06 |
1255754354 | Foothills Sports Medicine & Rehabilitation - Downtown, LLC | Physical Therapist | 375 E Virginia Ave, Phoenix, AZ 85004-1202 | 2014-01-24 |
1447509708 | Annemarie Alf | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2012-09-02 |
1518160183 | Foothills Sports Medicine and Rehabilitation Biltmore Inc | Physical Therapist | 2222 E Highland Ave, Suite 200, Phoenix, AZ 85016-4872 | 2007-06-08 |
Find all providers in PHOENIX |
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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.