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

Jisha Varughese, DPT

Individual provider Physical Therapist · NPI 1821795931

Jisha Varughese, DPT is a Physical Therapist in Private Practice in Laveen, Arizona. Qualified in 2022, 4 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
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

5885 W Baseline Rd Ste 110
Laveen, AZ 85339-3097
Phone: (602) 830-9083
Fax: (602) 281-7247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1065 E Tucson Marketplace Blvd Ste 155, Tucson, AZ 85713-6563 — (520) 719-4210

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-034130 (AZ)

Record details

NPI number1821795931
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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 Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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