Active NPI
Eric L Shifley, PT
- Physical Therapist
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7336
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186354 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Current | Accepting new patients | |
| Apexnetwork San Tan LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | 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.
-
dba ApexNetwork Physical Therapy
- Multi-Specialty Clinic/Center
- Vail, AZ
- NPI 1457845273
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- San Tan Valley, AZ
- NPI 1679150007
Physical Therapist
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
dba Physicians Physical Therapy Service
- Physical Therapist
- Phoenix, AZ
- NPI 1790733525
-
dba Physicians Physical Therapy Service
- Physical Therapist
- Glendale, AZ
- NPI 1912955717
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.