The Platform Performance and Sports Rehab, PLLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

THE PLATFORM PERFORMANCE AND SPORTS REHAB, PLLC

Practice address

8996 W Union Hills Dr Ste 107
Peoria, AZ 85382-3010

Phone

(602) 717-9361

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hailey KausNPI 1689060105

Title

PT / Co-Owner

Phone

(602) 717-9361

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Hailey Kaus

  • Physical Therapist
  • Peoria, AZ
  • NPI 1689060105
  Authorized official Same address or phone

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1104506203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15102 N 90TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 W UNION HILLS DR STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823010",
            "telephone_number": "602-717-9361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15102 N 90th Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853813520",
            "country_code": "US",
            "telephone_number": "602-717-9361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PLATFORM PERFORMANCE AND SPORTS REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A",
        "authorized_official_last_name": "KAUS",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "PT / CO-OWNER",
        "authorized_official_telephone_number": "602-717-9361"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Sports Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.