Organization Active NPI

Foothills Sports Medicine & Rehabilitation-Scottsdale, LLC

  • Physical Therapist
  • Paradise Valley, AZ
National Provider Identifier
1104879386
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOOTHILLS SPORTS MEDICINE & REHABILITATION-SCOTTSDALE, LLC
Practice address
5410 N Scottsdale Rd
Suite a-100
Paradise Valley, AZ 85253-7016
Phone
(480) 609-0822
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Tanja Snowden
Title
Office Manager
Phone
(602) 241-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5410 N Scottsdale Rd
Suite a-100
Paradise Valley, AZ 85253-7016

Mailing address

5410 N Scottsdale Rd
Suite a-100
Paradise Valley, AZ 85253-7016
Phone (480) 609-0822

National Provider Directory

National Provider Directory

Locations

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1104879386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE A-100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852537016",
            "telephone_number": "480-609-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE A-100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852537016",
            "telephone_number": "480-609-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SPORTS MEDICINE & REHABILITATION-SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "SNOWDEN",
        "authorized_official_first_name": "TANJA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-241-3145"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.