MRS. JORDAN GRACE GREGORY (NPI# 1740588375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740588375 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN GRACE GREGORY |
| Credential | CTRS |
| Practice Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Practice Telephone | 6022775551 |
| Mailing Telephone | 6022775551 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL COUNCIL FOR THERAPEUTIC RECREATION COUNSEL | 58287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790222198 | Jordan Gregory | Student in an Organized Health Care Education/Training Program | 3065 Dave Ward Dr Apt 213, Conway, AR 72034-9411 | 2017-01-23 |
| 1083930770 | Jordan Gregory | Case Manager/Care Coordinator | 259 Parkers Mill Rd, Somerset, KY 42501-3152 | 2010-04-20 |
| Street Address |
650 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218406 | Shamara Lashai Clark | Recreation Therapist | 1701 E Colter St Unit 477, Phoenix, AZ 85016-3392 | 2019-11-05 |
| 1285150284 | Chelsea Harden | Recreation Therapist | 21152 N 22nd St, Phoenix, AZ 85024-5513 | 2017-08-21 |
| 1972101087 | Erin Thompson | Recreation Therapist | 9150 W Indian School Rd Ste 105, Phoenix, AZ 85037-2385 | 2020-10-12 |
| 1427692557 | Kelly Elizabeth Walsh | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-10-31 |
| 1417457540 | Chanelle B Trautmann | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-02-15 |
| 1548760713 | Carolyn Rose Curcio | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-02-14 |
| 1821506064 | Joshua Parks | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-01-22 |
| 1235647595 | Caily Danielle O'connor | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-01-19 |
| 1356879209 | Suzanne Marie Prosser | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-05-23 |
| 1467992701 | Kayla Forster | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-03-06 |
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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.