Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JADE ELISE FAGAN PT
NPI 1881989606
Physical Therapist in Phoenix, AZ

Active since June 09, 2011
11812 N 19TH AVE, PHOENIX, AZ 85029(602) 833-4177 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jade Elise Fagan Pt NPPES

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

MRS. JADE ELISE FAGAN PT (NPI 1881989606) is an individual physical therapist in Phoenix, Arizona, licensed in Arizona (LPT31072) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1881989606
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JADE ELISE FAGANCredential: PT
Location Address11812 N 19TH AVEPhoenix, AZ 85029-3536
Mailing Address8545 Marys DrFlagstaff, AZ 86004-1211 · (214) 405-6853
Sole ProprietorNo
Enumeration DateJune 9, 2011
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1881989606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in AZ · LPT31072✔ Licensed in MD · CP053760T✔ Licensed in NH · CP051734T✔ Licensed in VA · CP052658T
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11812 N 19TH AVE, Phoenix, AZ 85029

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
11812 N 19TH AVE
PHOENIX, AZ 85029
Internal Medicine
11812 N 19TH AVE
PHOENIX, AZ 85029

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 Jade Fagan's NPI number?

The NPI number for Jade Fagan is 1881989606. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Jade Fagan located?

Jade Fagan practices at 11812 N 19th Ave, Phoenix, AZ 85029. The listed phone number is (602) 833-4177.

What is Jade Fagan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jade Fagan was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.