Active NPI
Frogs Physical Therapy LLC
- Physical Therapy Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1043435258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5226
- Legal business name
- FROGS PHYSICAL THERAPY LLC
- Practice address
- 16580 N 92ND St Ste 102
Scottsdale, AZ 85260-2328 - Phone
- (480) 585-7300
- Fax
- (480) 585-7740
- NPI assigned
- Apr 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Clary, PT, ATC
- Title
- Physical Therapist
- Phone
- (480) 585-7300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5226 | AZ | Primary |
Addresses
Primary practice location
16580 N 92ND St Ste 102
Scottsdale, AZ 85260-2328
Mailing address
16580 N 92ND St Ste 102
Scottsdale, AZ 85260-2328
Phone (480) 585-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051229000046 | AZ | Part B Supplier - Clinic/Group Practice | 7618999095 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
National Provider Directory
National Provider DirectoryLocations
16621 N 91st St
Ste 101B
Scottsdale, AZ 85260
Phone (480) 585-7300
16580 N 92nd St
Ste 102
Scottsdale, AZ 85260
Phone (480) 585-7300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Phoenix, AZ
- NPI 1104169846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580169600000",
"number": "1043435258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16580 N 92ND ST STE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602328",
"telephone_number": "480-585-7300",
"fax_number": "480-585-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16580 N 92ND ST STE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602328",
"telephone_number": "480-585-7300",
"fax_number": "480-585-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FROGS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-14",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A",
"authorized_official_last_name": "CLARY",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "480-585-7300",
"authorized_official_credential": "PT, ATC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AZ",
"license": "5226",
"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 Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.