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

Jeffrey W Gardner, PT, DPT

Individual provider Physical Therapist · NPI 1366775835

Jeffrey W Gardner, PT, DPT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2009, 17 years ago. Practices with Gateway Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4850 E Baseline Rd Ste 114
Mesa, AZ 85206-4625
Phone: (480) 396-2781
Fax: (480) 854-3094
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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 8576 (AZ)

Record details

NPI number1366775835
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 15, 2009
Last updated in NPPESOctober 28, 2009
Mailing address4850 E Baseline Rd, Suite 114, Mesa, AZ 85206-4625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Gateway Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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