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

Kaitlin Jenice Tuttle

Individual provider Physical Therapist · NPI 1164071023

Kaitlin Jenice Tuttle is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Spooner Physical Therapy and Hand Rehab, PC, a 200-clinician group and accepts Medicare assignment. Licensed in Arizona and Louisiana.

Years since qualifying
7
Licensed in
AZ, LA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

717 W Dunlap Ave
Phoenix, AZ 85021-3521
Phone: (602) 944-2146
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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 30836 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 10459 (LA)

Record details

NPI number1164071023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address107 Ashford Dr Apt 1124, West Monroe, LA 71291-7849

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Spooner Physical Therapy And Hand Rehab, Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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