Root Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ROOT PHYSICAL THERAPY, LLC

Practice address

17307 E Baca Dr
Fountain Hills, AZ 85268-2664

Phone

(816) 651-9687

NPI assigned

Mar 26, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Leigh Anderson, PT, DPT

Title

Physical Therapist

Phone

(816) 651-9687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458950400000",
    "number": "1093177297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 E BACA DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682664",
            "telephone_number": "816-651-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17307 E BACA DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682664",
            "telephone_number": "816-651-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2016-03-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-651-9687",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Robinson, M.D.
• Lorena Robles, COTA/L
• Alexis Rockenbaugh
• Ramon Rodriguez Jr., M.D.
• Nancy Louise Romanick, R.D.
• Rooted in You LLC
• Joshua Ruiz
• Hally Sablosky
• Safeway Inc
• Blake Sahd, OTR/L

• Physical Therapy Clinic/Center in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; 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.