Organization Active NPI

Desert Hills Physical Therapy and Wellness LLC

  • Physical Therapist
  • Queen Creek, AZ
National Provider Identifier
1104486455
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DESERT HILLS PHYSICAL THERAPY AND WELLNESS LLC
Practice address
20998 E Desert Hills Blvd
Queen Creek, AZ 85142-6937
Phone
(520) 595-0506
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
James White, PT
Title
Owner
Phone
(520) 595-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

20998 E Desert Hills Blvd
Queen Creek, AZ 85142-6937

Mailing address

20998 E Desert Hills Blvd
Queen Creek, AZ 85142-6937
Phone (520) 595-0506

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1104486455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20998 E DESERT HILLS BLVD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426937",
            "telephone_number": "520-595-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20998 E DESERT HILLS BLVD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426937",
            "telephone_number": "520-595-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HILLS PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-595-0506",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.