Individual provider Active NPI

John Bret Waltz, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1003859125
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-012713 Issued in AZ
Practice address
5211 E Marilyn Rd
Scottsdale, AZ 85254
Phone
(913) 269-8859
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-012713 AZ Primary

Addresses

Primary practice location

5211 E Marilyn Rd
Scottsdale, AZ 85254

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3500 SW Market St
Lees Summit, MO 64082-2327
Phone (816) 537-5650

Other identifiers 1

IdentifierTypeStateIssuer
37201013OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802003308 AZ Practitioner - Physical Therapist in Private Practice 0042213795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

3165 S Alma School Rd
Suite 30
Chandler, AZ 85248-3762
Phone (480) 281-0414

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Serc of Lee's Summit Physical Therapist Past Accepting new patients
Mid America Balance Institute of Cass County Missouri Past Accepting new patients
Serc of Lee's Summit Past Accepting new patients
Spine and Extremity Rehabilitation Center of Raytown Inc Physical Therapist Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

3165 S Alma School Rd
Ste 30
Chandler, AZ 85248
Phone (480) 281-0414

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

3131 S Market St
Ste 109
Gilbert, AZ 85295

3131 S Market St
Ste 109S
Gilbert, AZ 85295

115 E Williams Field Rd
Ste 103
Gilbert, AZ 85295
Phone (480) 281-0779

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

1021 N Ellsworth Rd
Ste 102
Mesa, AZ 85207
Phone (480) 319-8101

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

20784 E Victoria Ln
Ste 104
Queen Creek, AZ 85142
Phone (480) 877-7960

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1003859125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 E MARILYN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "913-269-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 SW Market St",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640822327",
            "country_code": "US",
            "telephone_number": "816-537-5650",
            "fax_number": "816-537-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "JOHN",
        "middle_name": "BRET",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-012713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37201013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.