Northern Arizona Rehabilitation & Fitness

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13044799E Issued in AZ

Legal business name

NORTHERN ARIZONA REHABILITATION & FITNESS

Practice address

450 S Willard St
Ste 106
Cottonwood, AZ 86326-6744

Phone

(928) 649-9726

Fax

(928) 634-2079

NPI assigned

Jun 1, 2005

Last updated

Jan 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Marie Mesa

Title

Receptionist

Phone

(928) 649-9726

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brennan T Kitchen, PT, DPT

  • Physical Therapist
  • Cottonwood, AZ
  • NPI 1598458192
  Medicare reassignment NPD
• Tarrin M Walz, PT

  • Physical Medicine & Rehabilitation Physician
  • Cottonwood, AZ
  • NPI 1386842730

  Physical Therapist

  Medicare reassignment NPD
• Amy Youan Shantz, PT, DPT

  • Physical Therapist
  • Inver Grove Heights, MN
  • NPI 1891567764

  AZ

  Medicare reassignment NPD
• Daniel Ray Sorensen, PT, MSPT

  • Physical Therapist
  • Rogers, AR
  • NPI 1770708455

  AZ

  Medicare reassignment NPD
• Marie Jones, FNP-C

  • Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1104718436
  NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1073515235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "STE 106",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-649-9726",
            "fax_number": "928-634-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "STE 106",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-649-9726",
            "fax_number": "928-634-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA REHABILITATION & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "928-649-9726",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13044799E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495516",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Healthcare Corporation (Northern Arizona Healthcare Medical Group Sleep- Cottonwood)
• Northern Arizona Healthcare Corporation (Northern Arizona Healthcare Medical Group - Cottonwood)
• Northern Arizona Healthcare Corporation (Northern Arizona Healthcare Medical Group Cardiology-Cottonwood)
• Northern Arizona Medical Care PLLC
• Northern Arizona Pulmonary Specialist
• Northern Arizona Spine and Pain Center PLLC
• Christhine Nuez, M.D.
• Nurse Practitioner Guild, Inc
• Theresa A. O'Brien
• Oak Creek Emergency Physicians LLC

• Physical Therapist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.