MEDICARE: JOSE GUADALUPE CABALLERO TINOCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-034716	AZ

General Provider Information

NPI Number	:	1023966132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE GUADALUPE CABALLERO TINOCO

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	726-202-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	539 E GLENDALE AVE STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4900
Country	:	US
Telephone Number	:	602-241-3145
Fax Number	:	602-241-2146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

Similar Medicare Providers

1851398051 — MS. ANDREA CIOCHETTI PT
Practice Location Address:

539 E GLENDALE AVE , SUITE 105
PHOENIX, AZ
85020-4900

Practice Phone: 602-241-3145
Practice Fax: 602-241-3146

1992797336 — ITAMAR STERN PT
Practice Location Address:

539 E GLENDALE AVE , SUITE 5
PHOENIX, AZ
85020-4900

Practice Phone: 602-241-3145
Practice Fax: 602-241-3146

1396739611 — ERIN WALSH PT
Practice Location Address:

539 E GLENDALE AVE , SUITE 5
PHOENIX, AZ
85020-4900

Practice Phone: 602-241-3145
Practice Fax: 602-241-3146

1457304792 — FOOTHILLS SPORTS MEDICINE & ORTHOPAEDICS PHOENIX, LLC
Practice Location Address:

539 E GLENDALE AVE , SUITE 105
PHOENIX, AZ
85020-4900

Practice Phone: 602-241-3145
Practice Fax:

1841333127 — JEREMY MASCARENAS P.T.
Practice Location Address:

539 E GLENDALE AVE , SUITE 105
PHOENIX, AZ
85020-4900

Practice Phone: 602-241-3145
Practice Fax: 602-241-3146

1972778694 — THE VILLAGE EYE WORKS, INC.
Practice Location Address:

539 E GLENDALE AVE
PHOENIX, AZ
85020-4900

Practice Phone: 602-258-5040
Practice Fax: 602-277-1847

Directions to “ JOSE GUADALUPE CABALLERO TINOCO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.