NPIMap

Organization Active NPI

Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Peoria, AZ
National Provider Identifier
1003995606
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOTHERAPY ASSOCIATES INC
Practice address
16155 N 83Rd Ave
Suite 105
Peoria, AZ 85382-5815
Phone
(623) 572-6776
Fax
(623) 572-6962
NPI assigned
Nov 3, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Cynthia L Goldberg
Title
Chief Compliance Officer
Phone
(610) 884-4457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

16155 N 83Rd Ave
Suite 105
Peoria, AZ 85382-5815

Mailing address

707 Lincoln Ctr
Stockton, CA 95207-2644
Phone (209) 470-5101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000642 AZ Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3577470442 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ; Phoenix, AZ; Chandler, AZ

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16155 N 83rd Ave
Ste 105
Peoria, AZ 85382
Phone (623) 572-6776

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1003995606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LINCOLN CTR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072644",
            "telephone_number": "209-470-5101",
            "fax_number": "267-321-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16155 N 83RD AVE",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825815",
            "telephone_number": "623-572-6776",
            "fax_number": "623-572-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "610-884-4457"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.

Verify at the official NPI Registry.