TAYLOR JEZUIT (PT, DPT) – Physical Therapist, NPI 1760160626

TAYLOR JEZUIT (PT, DPT) is a healthcare provider. based in Goodyear, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. LPT-33000 (AZ). The NPI Number for TAYLOR JEZUIT (PT, DPT) is 1760160626

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR JEZUIT (PT, DPT)
NPI
1760160626
Phone
(162) 344-0444
Address
14270 W INDIAN SCHOOL RD STE C4
Enumeration Date
10 July 2023
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6234404445
Graduation Year
2023 (3 years ago)
PAC ID
1951763812
Group Practice PAC ID
5092147314
Professional Enrollment ID
I20230809004187
Address ID
AZ853959201GO14270RDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for TAYLOR JEZUIT (PT, DPT)

  • 14270 W INDIAN SCHOOL RD STE C4

    GOODYEAR, AZ 853959201

    Phone: (162) 344-0444

    Fax: (623) 440-4445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230809004187IPhysical Therapist In Private PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85395)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092147314View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What identifier follows TAYLOR JEZUIT (PT, DPT) across health systems?
The NPI 1760160626 uniquely identifies TAYLOR JEZUIT (PT, DPT) in U.S. healthcare data.
Should I treat TAYLOR JEZUIT (PT, DPT) as an active provider?
Patients and plans typically see TAYLOR JEZUIT (PT, DPT) as active in the national extract.
Which specialty label fits TAYLOR JEZUIT (PT, DPT)?
NPPES ties TAYLOR JEZUIT (PT, DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAYLOR JEZUIT (PT, DPT)?
TAYLOR JEZUIT (PT, DPT) is associated with Goodyear, Arizona in the same public data insurers reference.
Can I export TAYLOR JEZUIT (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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