Active NPI
Alexander Rodriguez del Villar, PT, DPT
- Physical Therapist
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13570
- Practice address
- 7707 W Deer Valley Rd Ste 100
Peoria, AZ 85382-2101 - Phone
- (623) 376-9100
- NPI assigned
- Jan 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13570 | AZ | Primary |
Addresses
Primary practice location
7707 W Deer Valley Rd Ste 100
Peoria, AZ 85382-2101
Mailing address
15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 706-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13570 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Locations
19420 N 59th Ave
Ste H830
Glendale, AZ 85308
Phone (623) 302-9020
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
7707 W Deer Valley Rd
Ste 100
Peoria, AZ 85382
Phone (623) 376-9100
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1033626569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY STE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691",
"telephone_number": "480-706-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 W DEER VALLEY RD STE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822101",
"telephone_number": "623-376-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ DEL VILLAR",
"first_name": "ALEXANDER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-05",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.