JESSICA KEELER TATE (NPI# 1932471737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932471737 |
| Entity Type | Individual |
| Full Name | JESSICA KEELER TATE |
| Credential | DPT, OCS |
| Practice Address |
20830 N Tatum Blvd Suite 115 Phoenix AZ 85050-7256 |
| Mailing Address |
20940 N Tatum Blvd Suite B-200 Phoenix AZ 85050-4265 |
| Practice Telephone | 4804731200 |
| Practice Fax Number | 4804731250 |
| Mailing Telephone | 6024831710 |
| Mailing Fax Number | 4802727793 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10215 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
38629 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437697570 | Jessica Tate | Technician, Other | 41521 W 11 Mile, Novi, MI 58375 | 2017-02-09 |
| 1033739461 | Jessica Lauren Tate | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2020-04-27 |
| 1295384147 | Jessica Tate | Psychologist | 6603 Irongate Sq, North Chesterfield, VA 23234-6081 | 2019-09-04 |
| 1699174672 | Jessica D Tate | Pharmacist | 1115 13th St, Snohomish, WA 98290-2012 | 2014-08-15 |
| 1972937894 | Jessica Tate | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2013-08-27 |
| 1104267871 | Jessica R Tate | Pediatrics | 5153 N 9th Ave, 6th Floor Nemours, Pensacola, FL 32504-8785 | 2013-07-10 |
| 1235416215 | Jessica G. Tate | Counselor | 501 Paladin Dr, Greenville, NC 27834-7826 | 2011-11-04 |
| 1255653499 | Jessica Madison Tate | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2010-02-15 |
| 1811159536 | Jessica Amelia Tate | Psychiatry & Neurology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-25 |
| Street Address |
20830 N TATUM BLVD SUITE 115 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225081839 | Joseph M. Gazo | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2006-05-18 |
| 1427472661 | Kathleen Barth | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2014-02-07 |
| 1699025668 | Eugenia Ursan | Family Medicine | 20830 N Tatum Blvd, Suite 210, Phoenix, AZ 85050-7256 | 2012-09-17 |
| 1538469234 | American Family Chiropractic & Rehab At Desert Ridge, LLC | Chiropractor | 20830 N Tatum Blvd, Suite 210, Phoenix, AZ 85050-7256 | 2010-10-27 |
| 1285965509 | David William Orlowski | Counselor | 20830 N Tatum Blvd, Phoenix, AZ 85050-7256 | 2010-01-26 |
| 1750514998 | Smi Imaging, LLC | Radiology | 20830 N Tatum Blvd, Suite 190, Phoenix, AZ 85050-7256 | 2009-09-03 |
| 1952514366 | Jennifer Danielle Mcconnell | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2007-05-08 |
| 1306925805 | Physiotherapy Associates Inc | Clinic/Center | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7258 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1104318344 | Freddy Ruiz Jr. | Physical Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2018-06-04 |
| 1770038028 | Benjamin Alika Erbe | Physical Therapist | 4100 E Broadway Rd Ste 130, Phoenix, AZ 85040-8809 | 2016-08-16 |
| 1528442472 | Landmark Physical Therapy, Pllc | Physical Therapist | 4530 E Shea Blvd Ste 105, Phoenix, AZ 85028-6082 | 2015-07-09 |
| 1972915494 | Tops Physical Therapy, LLC | Physical Therapist | 5353 N 16th St, 120, Phoenix, AZ 85016-3224 | 2014-06-02 |
| 1508139254 | Dg Enterprises, LLC | Physical Therapist | 2426 E Park View Ln, Phoenix, AZ 85024-5270 | 2012-02-10 |
| 1497900955 | Dana M Winnie | Physical Therapist | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-8858 | 2008-11-25 |
| 1215056916 | Angela Kennedy | Physical Therapist | 3818 E Montecito Ave, Phoenix, AZ 85018-4130 | 2007-03-27 |
| 1750456935 | Garrett Coleman Early | Physical Therapist | 2222 E Highland Ave Ste 310, Phoenix, AZ 85016-4879 | 2006-11-22 |
| 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.