NPIMap

Organization Active NPI

Abc Pediatric Therapy, Inc.

  • Pediatric Physical Therapist
  • Chandler, AZ
National Provider Identifier
1083779649
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
ABC PEDIATRIC THERAPY, INC.
Practice address
3440 S Oleander Dr
Chandler, AZ 85248-3655
Phone
(480) 726-0000
Fax
(480) 726-9999
NPI assigned
Dec 26, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Alycia Virga
Title
Office Manager
Phone
(480) 726-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3440 S Oleander Dr
Chandler, AZ 85248-3655

Mailing address

3440 S Oleander Dr
Chandler, AZ 85248-3655
Phone (480) 726-0000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1083779649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 S OLEANDER DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483655",
            "telephone_number": "480-726-0000",
            "fax_number": "480-726-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S OLEANDER DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483655",
            "telephone_number": "480-726-0000",
            "fax_number": "480-726-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "VIRGA",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-726-0000"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.