Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jancarlo Jair Summers-Hernandez, PTA, CSCS

Individual provider Physical Therapy Assistant · NPI 1548979891

Jancarlo Jair Summers-Hernandez, PTA, CSCS is a Physical Therapy Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone: (480) 210-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 014041 (AZ)

Record details

NPI number1548979891
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , CSCS
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

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