Organization Active NPI

Northern Arizona Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Kingman, AZ
National Provider Identifier
1093180127
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10984 Issued in AZ
Legal business name
NORTHERN ARIZONA PHYSICAL THERAPY ASSOCIATES
Practice address
1707 E Andy Devine Ave
Kingman, AZ 86401-6255
Phone
(928) 440-6880
Fax
(928) 440-6879
NPI assigned
Dec 1, 2015
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Mr. Christopher Reno, DPTNPI 1801145263
Title
Owner
Phone
(928) 440-6880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 10984 AZ Primary

Addresses

Primary practice location

1707 E Andy Devine Ave
Kingman, AZ 86401-6255

Mailing address

1707 E Andy Devine Ave
Kingman, AZ 86401-6255
Phone (928) 440-6880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160225000912 AZ Part B Supplier - Clinic/Group Practice 0547565988 Receives reassigned benefits from 5 practitioners
Practice locations: Bullhead City, AZ; Kingman, AZ

National Provider Directory

National Provider Directory
Tax ID family
Northern Arizona Physical Therapy Associ2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1748 Highway 95
Ste 6
Bullhead City, AZ 86442
Phone (928) 440-6880

1707 E Andy Devine Ave
Kingman, AZ 86401
Phone (928) 440-6880

2404 N Stockton Hill Rd
Ste K
Kingman, AZ 86401
Phone (928) 440-6880

Practitioners & affiliated clinicians

Practitioners 5

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1093180127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016255",
            "telephone_number": "928-440-6880",
            "fax_number": "928-440-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016255",
            "telephone_number": "928-440-6880",
            "fax_number": "928-440-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "RENO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-440-6880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "10984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.