Organization Active NPI

Service First Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1023072659
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1379 Issued in AZ
Legal business name
SERVICE FIRST PHYSICAL THERAPY, LLC
Practice address
3226 E Lazy LN
Phoenix, AZ 85028-4951
Phone
(602) 510-4800
Fax
(602) 652-0133
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mr. Alan Harry Halling, PTNPI 1033173653
Title
Owner
Phone
(602) 510-4800

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1379 AZ Primary

Addresses

Primary practice location

3226 E Lazy LN
Phoenix, AZ 85028-4951

Mailing address

PO Box 22053
Phoenix, AZ 85028-4951
Phone (602) 510-4800

Other identifiers 1

IdentifierTypeStateIssuer
035439MedicaidAZ

National Provider Directory

National Provider Directory

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": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1023072659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22053",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284951",
            "telephone_number": "602-510-4800",
            "fax_number": "602-652-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 E LAZY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284951",
            "telephone_number": "602-510-4800",
            "fax_number": "602-652-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE FIRST PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "HALLING",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-510-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035439",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.