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JACOB MEDFORD
NPI 1497415475
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Tempe, AZ

Active since December 18, 2021
1204 E BASELINE RD STE 205, TEMPE, AZ 85283(619) 708-1440 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Medford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MEDFORD (NPI 1497415475) is an individual rehabilitation, comprehensive outpatient rehabilitation facility (corf) provider in Tempe, Arizona and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1497415475
Entity TypeIndividualMale
Primary Taxonomy261QR0401X
Provider Legal NameJACOB MEDFORD
Location Address1204 E BASELINE RD STE 205Tempe, AZ 85283-1453
Mailing Address44276 W Neely DrMaricopa, AZ 85138-9427 · (619) 708-1440
Phone(619) 708-1440
Sole ProprietorYes
Enumeration DateDecember 18, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1497415475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
1204 E BASELINE RD STE 205, Tempe, AZ 85283
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDFORDS FAMILY SERVICES LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1204 E BASELINE RD STE 205
TEMPE, AZ 85283
Maricopa County (619) 708-1440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Medford's NPI number?

The NPI number for Jacob Medford is 1497415475. It was assigned to this individual provider in the NPPES registry on December 18, 2021.

Where is Jacob Medford located?

Jacob Medford practices at 1204 E Baseline Rd Ste 205, Tempe, AZ 85283. The listed phone number is (619) 708-1440.

What is Jacob Medford's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Jacob Medford was last updated on December 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.