Organization Active NPI

Huppert Pediatric Therapy, Inc.

  • Home Health Agency
  • Chandler, AZ
National Provider Identifier
1104818558
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUPPERT PEDIATRIC THERAPY, INC.
Practice address
4960 S. Gilbert Road
Ste. 1-609
Chandler, AZ 85249-6021
Phone
(480) 821-7779
Fax
(480) 821-6820
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Mr. Leo William Huppert III
Title
Business MGR/Co Owner
Phone
(480) 821-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4960 S. Gilbert Road
Ste. 1-609
Chandler, AZ 85249-6021

Mailing address

4960 S. Gilbert Road
Ste. 1-609
Chandler, AZ 85249-6021
Phone (480) 821-7779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1104818558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S. GILBERT ROAD",
            "address_2": "STE. 1-609",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496021",
            "telephone_number": "480-821-7779",
            "fax_number": "480-821-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 S. GILBERT ROAD",
            "address_2": "STE. 1-609",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496021",
            "telephone_number": "480-821-7779",
            "fax_number": "480-821-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUPPERT PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "HUPPERT",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "BUSINESS MGR/CO OWNER",
        "authorized_official_telephone_number": "480-821-7779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.