Crossroads Orthopedic PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6170 Issued in AZ

Legal business name

CROSSROADS ORTHOPEDIC PT

Practice address

610 N Alma School Rd
Suite 52
Chandler, AZ 85224-3600

Phone

(480) 772-7532

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Shaheen Siddiqui, MSPTNPI 1154550457

Title

Owner, Physical Therapist

Phone

(480) 772-7532

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Orthopedic Physical Therapy Doing business as

Locations

Practitioners 1

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

• Shaheen Siddiqui, M.S.P.T.

  • Physical Therapist
  • Chandler, AZ
  • NPI 1154550457
  NPD (past) Authorized official

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1053847582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 S ILLINOIS ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867763",
            "telephone_number": "480-772-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "SUITE 52",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243600",
            "telephone_number": "480-772-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ORTHOPEDIC PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-772-7532",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Orthopedic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie R Cross, PTA
• Sean Alexander Cross
• Crossroads Chandler
• Crossroads Chandler
• Crossroads Dental Group, LLP
• Crossroads Pediatrics PLLC
• David W Crouthamel, DDS
• William A. Crum, O.D.
• Anna Cruz
• Jill Kristin Cruz, LMFT

• Physical Therapy Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.