Individual provider Active NPI

Eric L Shifley, PT

  • Physical Therapist
  • San Tan Valley, AZ
National Provider Identifier
1083623854
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7336 Issued in AZ
Practice address
37591 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7394
Phone
(480) 590-8504
NPI assigned
Aug 7, 2006
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7336 AZ Primary

Addresses

Primary practice location

37591 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7394

Mailing address

PO Box 269084
Oklahoma City, OK 73126-9084
Phone (623) 398-8072

Other practice location 1

805 N Dobson Rd
105
Mesa, AZ 85201-7660
Phone (480) 222-0655

Other identifiers 1

IdentifierTypeStateIssuer
186354MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000523 AZ Practitioner - Physical Therapist in Private Practice 2264437003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians
Apexnetwork San Tan LLCGroup PAC ID 7517368897, 2 clinicians

Practice addresses (Care Compare)

17720 W Elliot Rd
Goodyear, AZ 85338-9000
Phone (623) 274-3343

37591 N Gantzel Rd
Suite 101
San Tan Valley, AZ 85140-7394
Phone (480) 590-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC CurrentSince Jul 10, 2025 Accepting new patients
Apexnetwork San Tan LLC Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jul 10, 2025 Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients
Physical Therapy Solutions LLC Physical Therapist Past Accepting new patients

Locations

17720 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 274-3343

9233 E Cadence Pkwy
Ste 105
Mesa, AZ 85212
Phone (480) 631-4973

28620 N El Mirage Rd
Ste B102
Peoria, AZ 85383
Phone (888) 433-7993

1279 W Frontage Rd
Unit H
Rio Rico, AZ 85648
Phone (520) 375-2127

37591 N Gantzel Rd
Ste 101
San Tan Vly, AZ 85140
Phone (480) 590-8504

13370 E Mary Ann Cleveland Way
Ste 130
Vail, AZ 85641
Phone (520) 689-7144

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1083623854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269084",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269084",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37591 N GANTZEL RD STE 101",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407394",
            "telephone_number": "480-590-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 N Dobson Rd",
            "address_2": "105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017660",
            "country_code": "US",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFLEY",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.