Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Robert Vance, DPT

Individual provider Geriatric Physical Therapist · NPI 1649584004

Dr. Jonathan Robert Vance, DPT is a Geriatric Physical Therapist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

123 N Centennial Way Ste 150
Mesa, AZ 85201-6689
Phone: (480) 687-8051
Fax: (480) 546-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9010 (AZ)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence LPT-00009010 (AZ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence LPT-00009010 (AZ)

Record details

NPI number1649584004
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address123 N Centennial Way Ste 150, Mesa, AZ 85201-6689

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