Organization Active NPI

Donahue Physical Therapy LLC

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1013057611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5998 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.