Individual provider Active NPI

Phillip Veatch, PA-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1013390343
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0000 Issued in AZ
Practice address
2034 E Southern Ave Ste O
Tempe, AZ 85282-7519
Phone
(480) 400-6225
Fax
(480) 718-8709
NPI assigned
Jul 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0000 AZ Primary
Physical Therapist 225100000X AZ

Addresses

Primary practice location

2034 E Southern Ave Ste O
Tempe, AZ 85282-7519

Mailing address

2034 E Southern Ave Ste O
Tempe, AZ 85282-7519
Phone (480) 400-6225

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013001087 AZ Practitioner - Physician Assistant 7315256492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2034 E Southern Ave
Suite K
Tempe, AZ 85282-7511
Phone (480) 438-0069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0000AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education, LLC Physical Therapist Past Accepting new patients
Arizona Pain Specialists, PLLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1013390343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE O",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827519",
            "telephone_number": "480-400-6225",
            "fax_number": "480-718-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE O",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827519",
            "telephone_number": "480-400-6225",
            "fax_number": "480-718-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEATCH",
        "first_name": "PHILLIP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "0000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.