Active NPI
Donahue Physical Therapy LLC
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1013057611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5998
- Legal business name
- DONAHUE PHYSICAL THERAPY LLC
- Practice address
- 4925 W Bell Rd
Glendale, AZ 85308-3427 - Phone
- (602) 318-5556
- Fax
- (602) 789-6755
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Charles Donahue, MSPT
- Title
- Owner Physical Therapist
- Phone
- (602) 318-5556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5998 | AZ | Primary |
Addresses
Primary practice location
4925 W Bell Rd
Glendale, AZ 85308-3427
Mailing address
11038 N 28TH Dr Apt 123
Phoenix, AZ 85029-4308
Phone (602) 318-5556
National Provider Directory
National Provider DirectoryLocations
4925 W Bell Rd
Glendale, AZ 85308
Phone (602) 318-5556
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Glendale, AZ
- NPI 1467403626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013057611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11038 N 28TH DR APT 123",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294308",
"telephone_number": "602-318-5556",
"fax_number": "602-789-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 W BELL RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083427",
"telephone_number": "602-318-5556",
"fax_number": "602-789-6755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONAHUE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DONAHUE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
"authorized_official_telephone_number": "602-318-5556",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5998",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.