Desert Palms Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DESERT PALMS PHYSICAL THERAPY PC

Practice address

7400 N la Cholla Blvd
Tucson, AZ 85741-2306

Phone

(520) 531-0305

Fax

(520) 742-4907

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Ana M Wallace, CPC

Title

Business Office Manager

Phone

(520) 531-0305

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 7

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

• Kristen Marie Ayres, DPT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1427530690
  Medicare reassignment Care Compare group NPD
• Brandon Blauser

  • Physical Therapist
  • Tucson, AZ
  • NPI 1750883526
  Medicare reassignment Care Compare group NPD
• Marcus R Neal, PT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1205926391
  Medicare reassignment Care Compare group NPD
• Daniel John Norkiewicz, PT, DPT

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1275894487

  AZ

  Medicare reassignment NPD
• Benjamin Ehizele Ediale, PT, DPT

  • Physical Therapist
  • Oro Valley, AZ
  • NPI 1972457109
  Medicare reassignment
• Marco Vazquez

  • Physical Therapist
  • Oro Valley, AZ
  • NPI 1164376687
  Medicare reassignment
• Hilary Heskett, PT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1134833452
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1083643787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-531-0305",
            "fax_number": "520-742-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-531-0305",
            "fax_number": "520-742-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PALMS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "520-531-0305",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758104",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Mountain Urology
• Desert Oasis Healthy Living, LLC
• Desert Oasis Personalized Care PLLC
• Desert Pain and Rehab Specialists, PLLC
• Desert Palms First Assist, PLLC
• Desert Palms Physical Therapy- Catalina PC
• Desert Podiatric Medical Specialists PC
• Desert Prism Integrated Health, LLC
• Desert Quail Therapy LLC
• Desert Radiology LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.