Organization Active NPI

Aligned Life PLLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1093580987
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALIGNED LIFE PLLC
Practice address
715 N Beaver St Unit C
Flagstaff, AZ 86001-3141
Phone
(928) 224-2847
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Dustin TitcombNPI 1275912784
Title
Owner
Phone
(520) 975-8506

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 Primary

Addresses

Primary practice location

715 N Beaver St Unit C
Flagstaff, AZ 86001-3141

Mailing address

715 N Beaver St Unit C
Flagstaff, AZ 86001-3141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112000830 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951752054 Receives reassigned benefits from 1 practitioner
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Locations

715 N Beaver St
Ste C
Flagstaff, AZ 86001
Phone (928) 224-2847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1093580987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BEAVER ST UNIT C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BEAVER ST UNIT C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013141",
            "telephone_number": "928-224-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGNED LIFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "TITCOMB",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-975-8506"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.