Healthcare Provider Details

I. General information

NPI: 1457596009
Provider Name (Legal Business Name): JESSICA J DIAZ-TOVAR PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA J DIAZ DPT

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 E SADDLEBROOK RD
GILBERT AZ
85298-7498
US

IV. Provider business mailing address

2603 E SADDLEBROOK RD
GILBERT AZ
85298-7498
US

V. Phone/Fax

Practice location:
  • Phone: 520-603-1538
  • Fax: 480-452-1517
Mailing address:
  • Phone: 520-603-1538
  • Fax: 480-452-1517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number8303
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8303
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: