NPIMap

Organization Active NPI

Apexnetwork Sierra Vista, PLLC

  • Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1083098677
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
APEXNETWORK SIERRA VISTA, PLLC
Practice address
2151 S Highway 92
Ste. 106
Sierra Vista, AZ 85635-5282
Phone
(520) 335-1615
Fax
(520) 335-1623
NPI assigned
Jul 14, 2015
Last updated
Dec 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Andrew MilliganNPI 1558409128
Title
Manager
Phone
(520) 335-1615

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2151 S Highway 92
Ste. 106
Sierra Vista, AZ 85635-5282

Mailing address

15 Apex Dr
Highland, IL 62249-1282
Phone (618) 441-0482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151030001762 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012227275 Receives reassigned benefits from 14 practitioners
Practice locations: Benson, AZ; Sierra Vista, AZ

National Provider Directory

National Provider Directory

Locations

569 W 4th St
Benson, AZ 85602
Phone (520) 586-3663

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1083098677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-441-0482",
            "fax_number": "618-441-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92",
            "address_2": "STE. 106",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355282",
            "telephone_number": "520-335-1615",
            "fax_number": "520-335-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEXNETWORK SIERRA VISTA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-335-1615"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.