Organization Active NPI

Sozo Physical Therapy

  • Physical Therapy Clinic/Center
  • Chandler, AZ
National Provider Identifier
1083928766
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8030 Issued in AZ
Legal business name
SOZO PHYSICAL THERAPY
Practice address
12220 E Riggs Rd Ste 101
Chandler, AZ 85249-3739
Phone
(480) 895-0965
Fax
(877) 231-1174
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Dr. Mathew Thomas, PT, DPT, ATC/L, CEASNPI 1578717898
Title
Member
Phone
(480) 895-0965

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8030 AZ Primary
Physical Therapy Clinic/Center 261QP2000X 5684 AZ

Addresses

Primary practice location

12220 E Riggs Rd Ste 101
Chandler, AZ 85249-3739

Mailing address

4960 S Gilbert Rd
Suite 1-138
Chandler, AZ 85249-5982

Other practice location 1

6910 E Chauncey Ln Ste 115
Phoenix, AZ 85054-5161
Phone (480) 473-5070

Other practice location 2

4303 W Van Buren St Ste 4
Phoenix, AZ 85043-3928
Phone (602) 995-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110304000469 AZ Part B Supplier - Clinic/Group Practice 4284816711 Receives reassigned benefits from 5 practitioners
Practice locations: Phoenix, AZ; Goodyear, AZ; Chandler, AZ

National Provider Directory

National Provider Directory

Locations

5970 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 895-0965

4303 W Van Buren St
Ste 4
Phoenix, AZ 85043
Phone (602) 995-0400

Practitioners & affiliated clinicians

Practitioners 6

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": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1083928766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S GILBERT RD",
            "address_2": "SUITE 1-138",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 E RIGGS RD STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493739",
            "telephone_number": "480-895-0965",
            "fax_number": "877-231-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6910 E Chauncey Ln Ste 115",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850545161",
            "country_code": "US",
            "telephone_number": "480-473-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4303 W Van Buren St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850433928",
            "country_code": "US",
            "telephone_number": "602-995-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOZO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-895-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATC/L, CEAS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "8030",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "5684",
            "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 Aug 23, 2019; 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.