Active NPI
Marisa Aguilar, DPT
- Physical Therapist
- Goodyear, AZ
National Provider Identifier
1003460494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 13385 W McDowell Rd
Goodyear, AZ 85395-2631 - Phone
- (623) 986-5110
- Fax
- (623) 207-9683
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1184730095
AZ
-
- Physical Therapy Clinic/Center
- Rockwall, TX
- NPI 1184465650
Physical Therapist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191008003481 | AZ | Practitioner - Physical Therapist in Private Practice | 6608107461 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spooner Physical Therapy and Hand Rehab, PC | Physical Therapist | Current | Accepting new patients |
| Eleutheria, LLC | Physical Therapist | Current | Accepting new patients |
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients |
Locations
16838 E Palisades Blvd
Ste B121
Fountain Hls, AZ 85268
Phone (480) 837-2595
13385 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 986-5110
9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
13385 W McDowell Rd
Goodyear, AZ 85395-2631
Mailing address
13385 W McDowell Rd
Goodyear, AZ 85395-2631
Phone (623) 986-5110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2020.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1003460494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13385 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952631",
"telephone_number": "623-986-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13385 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952631",
"telephone_number": "623-986-5110",
"fax_number": "623-207-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "MARISA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.