NPIMap

Organization Active NPI

Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1104478320
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Practice address
7555 E Osborn Rd Ste 200
Scottsdale, AZ 85251-6442
Phone
(480) 909-4930
Fax
(480) 909-4931
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Timothy A Spooner, PT
Title
President
Phone
(480) 551-4958

Specialties & licenses 1

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

Addresses

Primary practice location

7555 E Osborn Rd Ste 200
Scottsdale, AZ 85251-6442

Mailing address

9097 E Desert Cove Ave Ste 110
Scottsdale, AZ 85260-6276
Phone (480) 909-4930

Other identifiers 1

IdentifierTypeStateIssuer
324787MedicaidAZ

Other names 1

  • Spooner Old Town Scottsdale Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000811 AZ Part B Supplier - Clinic/Group Practice 3476440447 Receives reassigned benefits from 215 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Peoria, AZ; Scottsdale, AZ; Surprise, AZ; Glendale, AZ; Mesa, AZ; Anthem, AZ; Avondale, AZ…

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Spooner Physical Therap16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1351 N Alma School Rd
Ste 100
Chandler, AZ 85224
Phone (480) 821-2286

Practitioners & affiliated clinicians

Practitioners 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1104478320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606276",
            "telephone_number": "480-909-4930",
            "fax_number": "480-909-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 E OSBORN RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516442",
            "telephone_number": "480-909-4930",
            "fax_number": "480-909-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "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": "480-551-4958",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324787",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spooner Old Town Scottsdale",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Spooner Old Town Scottsdale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.