Arizona Sports & Rehabilitation Physical Therapy, LLC

Key facts

NPI

1104187889

Entity type

Organization (NPI type 2)

Primary specialty

Sports Physical Therapist 2251S0007X

License

7193 (AZ)

Legal business name

ARIZONA SPORTS & REHABILITATION PHYSICAL THERAPY, LLC

Practice address

8114 E Cactus Rd Ste 220
Scottsdale, AZ 85260-5260

Phone

(480) 663-7829

Fax

(480) 998-0629

NPI assigned

May 30, 2012

Organization subpart

No

Authorized official

Name

Dr. Wendy Ann Weisflog, D.C.

Title

Owner

Phone

(480) 663-7829

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2014.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1104187889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 E CACTUS RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605260",
            "telephone_number": "480-663-7829",
            "fax_number": "480-998-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 E CACTUS RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605260",
            "telephone_number": "480-663-7829",
            "fax_number": "480-998-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPORTS & REHABILITATION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "WEISFLOG",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-663-7829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "7193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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