Organization Active NPI

Arizona Performance Institute

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1083216568
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ARIZONA PERFORMANCE INSTITUTE
Practice address
8607 E Pecos Rd
Unit 116
Mesa, AZ 85212-9446
Phone
(480) 619-3842
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Larry OrtegaNPI 1144822677
Title
Co-Founder
Phone
(480) 500-1446

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8607 E Pecos Rd
Unit 116
Mesa, AZ 85212-9446

Mailing address

8607 E Pecos Rd
Unit 116
Mesa, AZ 85212-9446
Phone (480) 619-3842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221014002777 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052787017 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

8607 E Pecos Rd
Ste 116
Mesa, AZ 85212
Phone (480) 500-1446

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1083216568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 E PECOS RD",
            "address_2": "UNIT 116",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129446",
            "telephone_number": "480-619-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 E PECOS RD",
            "address_2": "UNIT 116",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129446",
            "telephone_number": "480-619-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PERFORMANCE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "480-500-1446"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.