Organization Active NPI

Frogs Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1043435258
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5226 Issued in AZ
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

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Andrew Clary, PT, ATCNPI 1518943562
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20051229000046 AZ Part B Supplier - Clinic/Group Practice 7618999095 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.