Active NPI
Christine Busa, P.T.
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1003896663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6523
- Practice address
- 5601 W Eugie Ave
Suite 202
Glendale, AZ 85304-1255 - Phone
- (602) 843-8436
- Fax
- (602) 843-8947
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6523 | AZ | Primary |
Addresses
Primary practice location
5601 W Eugie Ave
Suite 202
Glendale, AZ 85304-1255
Mailing address
1000 Boone Ave N
Suite 100
Golden Valley, MN 55427-4466
Phone (763) 450-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 987167 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003896663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BOONE AVE N",
"address_2": "SUITE 100",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274466",
"telephone_number": "763-450-2000",
"fax_number": "763-450-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 W EUGIE AVE",
"address_2": "SUITE 202",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041255",
"telephone_number": "602-843-8436",
"fax_number": "602-843-8947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSA",
"first_name": "CHRISTINE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "987167",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.