NPIMap

Organization Active NPI

Enhanced Physical Therapy

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1013963487
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
200003911 Issued in AZ
Legal business name
ENHANCED PHYSICAL THERAPY
Practice address
18301 N 79TH Ave
Suiteb122
Glendale, AZ 85308-8463
Phone
(623) 486-3333
Fax
(623) 486-3355
NPI assigned
May 26, 2006
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Mrs. Renee Campbell
Title
Billing Manager
Phone
(623) 486-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 200003911 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave
Suiteb122
Glendale, AZ 85308-8463

Mailing address

18301 N 79TH Ave
Suiteb122
Glendale, AZ 85308-8463
Phone (623) 486-3333

National Provider Directory

National Provider Directory

Locations

18001 N 79th Ave
Ste A12
Glendale, AZ 85308
Phone (623) 321-5380

18301 N 79th Ave
Ste 122
Glendale, AZ 85308
Phone (623) 486-3333

18301 N 79th Ave
Ste B122
Glendale, AZ 85308
Phone (623) 486-3333

9 N Bridge St
Saint Anthony, ID 83445
Phone (208) 600-6282

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1013963487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITEB122",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-486-3333",
            "fax_number": "623-486-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITEB122",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-486-3333",
            "fax_number": "623-486-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "623-486-3333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "200003911",
            "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 Oct 21, 2010; 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.