Active NPI
Stephen E Kush, P.T.
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1063537843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0274
- Practice address
- 7331 E Osborn Dr
Suite 190
Scottsdale, AZ 85251-6435 - Phone
- (480) 874-4212
- Fax
- (480) 874-4917
- NPI assigned
- Mar 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6496 | NC | |
| Physical Therapist | 225100000X | 0274 | AZ | Primary |
Addresses
Primary practice location
7331 E Osborn Dr
Suite 190
Scottsdale, AZ 85251-6435
Mailing address
1844 E Baseline Rd
Suite C-5
Tempe, AZ 85283-1510
Phone (480) 833-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050766 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6496 | NC | MD | Professional Counselor |
| 0274 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Partners LLC | Physical Therapist | Current | Accepting new patients |
| Petersen Physical Therapy PC | Past | Accepting new patients | |
| Perfect Balance Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
711 E Carefree Hwy
Ste 204
Phoenix, AZ 85085
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.
-
dba Aspire Therapy
- Speech-Language Pathologist
- Peoria, AZ
- NPI 1639245277
Physical Therapist
-
- Physical Therapy Clinic/Center
- Tempe, AZ
- NPI 1578673562
-
dba Fyzical Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Asheville, NC
- NPI 1346223930
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1063537843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 E BASELINE RD",
"address_2": "SUITE C-5",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831510",
"telephone_number": "480-833-1005",
"fax_number": "480-833-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7331 E OSBORN DR",
"address_2": "SUITE 190",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516435",
"telephone_number": "480-874-4212",
"fax_number": "480-874-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSH",
"first_name": "STEPHEN",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6496",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "0274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050766",
"state": "AZ"
}
],
"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 Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.