Spooner Rehab, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPOONER REHAB, PC

Practice address

2122 E Highland Ave
Suite 200
Phoenix, AZ 85016-4739

Phone

(602) 778-0900

Fax

(602) 778-6606

NPI assigned

Apr 17, 2013

Last updated

Jun 26, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SPOONER REHAB,PCAs reported in NPPES

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

Authorized official

Name

Mr. Timothy A Spooner, PTNPI 1528011053

Title

President

Phone

(480) 860-4298

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spooner Physical Therapy & Hand Rehab, PC

  dba Spooner Rehab - Goodyear

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1437370525

  O20040303001024

  Same enrollment
• Spooner Rehab, PC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1225472533

  O20040303001024

  Same enrollment
• Spooner Rehab, PC

  • Physical Therapist
  • Avondale, AZ
  • NPI 1265876585

  O20040303001024

  Same enrollment

Tax ID family

Spooner Rehab PC3 organizations share this tax ID, including this one

Part of

Spooner Rehab PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Spooner Rehab, PC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1225472533
  NPD tax ID
• Spooner Rehab, PC

  • Physical Therapist
  • Avondale, AZ
  • NPI 1265876585
  NPD tax ID

Practitioners 1

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.

• Timothy A Spooner, PT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1528011053
  Authorized official Same address or phone

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1093159378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606710",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 E HIGHLAND AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164739",
            "telephone_number": "602-778-0900",
            "fax_number": "602-778-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER REHAB, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOONER REHAB,PC",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-860-4298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spooner Physical Therapy & Hand Rehab, PC (DBA: Spooner Sports Institute)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Ahwatukee)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner North Phoenix)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Biltmore)
• Spooner Physical Therapy & Hand Rehab, PC
• Christopher Roy Spooner, NMD
• Shad Arthur Spooner
• Sports & Fam Care Clinic Inc
• Sports Conditioning Clinic
• Christine E Sports, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.