Foothills Sports Medicine & Physical Therapy - Tatum Shea LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FOOTHILLS SPORTS MEDICINE & PHYSICAL THERAPY - TATUM SHEA LLC

Practice address

11250 N Tatum Blvd
Phoenix, AZ 85028-2306

Phone

(602) 464-6189

Fax

(602) 464-6199

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Michael Basten

Title

Owner

Phone

(480) 689-5515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Itamar Stern, PT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1992797336
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1053801993",
    "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": "11250 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282306",
            "telephone_number": "602-464-6189",
            "fax_number": "602-464-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SPORTS MEDICINE & PHYSICAL THERAPY - TATUM SHEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BASTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-689-5515"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foothills Family Dental PC
• Foothills Neurology P C
• Foothills Orthopaedic Specialists, PC
• Foothills Smiles, LLP
• Foothills Sports Medicine & Orthopaedics Phoenix, LLC
• Foothills Sports Medicine & Rehabilitation Downtown, LLC
• Foothills Sports Medicine & Rehabilitation- Tatum, Inc.
• Foothills Sports Medicine & Rehabilitation, LLC
• Foothills Sports Medicine and Rehabilitation Biltmore LLC
• Foothills Therapy Partners, LLC

• All providers in Phoenix, AZ
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.