Healthcare Provider Details

I. General information

NPI: 1265072540
Provider Name (Legal Business Name): JENNIFER TOEPPE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 N CIVIC CENTER PLZ STE 10
SCOTTSDALE AZ
85251-6919
US

IV. Provider business mailing address

3225 N CIVIC CENTER PLZ STE 10
SCOTTSDALE AZ
85251-6919
US

V. Phone/Fax

Practice location:
  • Phone: 480-945-0030
  • Fax:
Mailing address:
  • Phone: 480-286-7908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6967
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: