NPIMap

Organization Active NPI

Physiotherapy Assoicates Inc

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1013096734
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOTHERAPY ASSOICATES INC
Practice address
2626 E University Dr
Suite 104
Mesa, AZ 85213-8478
Phone
(480) 649-1750
Fax
(480) 649-1638
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Jayne Fleck-Pool
Title
Chief Compliance Officer
Phone
(469) 467-8705

Specialties & licenses 1

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

Addresses

Primary practice location

2626 E University Dr
Suite 104
Mesa, AZ 85213-8478

Mailing address

2300 Coit Rd
Ste 300
Plano, TX 75075-3768
Phone (469) 467-8705

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

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": "1274745600000",
    "number": "1013096734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138478",
            "telephone_number": "480-649-1750",
            "fax_number": "480-649-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOICATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "FLECK-POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CHIEF  COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.