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

Jesse Reno

Individual provider Physical Therapist · NPI 1528782810

Jesse Reno is a Physical Therapist in Private Practice in Kingman, Arizona. Qualified in 2022, 4 years ago. Practices with Northern Arizona Physical Therapy Associates, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

2404 N Stockton Hill Rd Ste K
Kingman, AZ 86401-4184
Phone: (928) 440-6880
Fax: (928) 529-5036
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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 LPT-32584 (AZ)

Record details

NPI number1528782810
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address2404 N Stockton Hill Rd Ste K, Kingman, AZ 86401-4184

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northern Arizona Physical Therapy Associates — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingman