NPIMap

Organization Active NPI

Arizona Sports Physical Therapy LTD

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1013997246
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ARIZONA SPORTS PHYSICAL THERAPY LTD
Practice address
5320 E Shea Blvd
Scottsdale, AZ 85254-5749
Phone
(480) 596-6999
Fax
(480) 596-9555
NPI assigned
Jan 23, 2006
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Gary Lyle Derscheid, PTNPI 1871591875
Title
Owner
Phone
(480) 596-6999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

5320 E Shea Blvd
Scottsdale, AZ 85254-5749

Mailing address

5320 E Shea Blvd
Scottsdale, AZ 85254-5749
Phone (480) 596-6999

National Provider Directory

National Provider Directory

Locations

1831 W Rose Garden Ln
Ste 7
Phoenix, AZ 85027
Phone (623) 434-7775

19636 N 27th Ave
Ste 208
Phoenix, AZ 85027
Phone (602) 943-7115

333 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 253-4120

5320 E Shea Blvd
Scottsdale, AZ 85254
Phone (480) 306-4401

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1013997246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545749",
            "telephone_number": "480-596-6999",
            "fax_number": "480-596-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545749",
            "telephone_number": "480-596-6999",
            "fax_number": "480-596-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPORTS PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "DERSCHEID",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-596-6999",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.