Active NPI
John Bret Waltz, DPT
- Physical Therapist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-012713
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37201013 | Other | MO | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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 100
- 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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | 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.
-
dba MABI of Cass County
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Belton, MO
- NPI 1902050511
-
- Physical Therapist
- Lee's Summit, MO
- NPI 1093763658
-
- Customized Equipment (DME)
- Lee's Summit, MO
- NPI 1306053632
-
dba SERC of Raytown; SERC of South Raytown; SERC of Belton
- Physical Therapist
- Raytown, MO
- NPI 1568410165
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.