NPIMap

Organization Active NPI

WS Perry LLC

Doing business as Agility Physical Therapy

  • Orthopedic Physical Therapist
  • Mesa, AZ
National Provider Identifier
1104951037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4408 Issued in AZ
Legal business name
WS PERRY LLC
Doing business as
Agility Physical Therapy
Practice address
6112 E Brown Rd
Suite101
Mesa, AZ 85205-4955
Phone
(480) 827-9707
Fax
(480) 962-7154
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Will L Perry
Title
Owner
Phone
(480) 827-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 4408 AZ Primary

Addresses

Primary practice location

6112 E Brown Rd
Suite101
Mesa, AZ 85205-4955

Mailing address

6112 E Brown Rd
Suite 101
Mesa, AZ 85205-4955
Phone (480) 827-9707

Other names 1

  • AGILITY PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

6112 E Brown Rd
Ste 101
Mesa, AZ 85205
Phone (480) 827-9707

6106 E Brown Rd
Ste 103
Mesa, AZ 85205
Phone (480) 827-9707

Practitioners & affiliated clinicians

Practitioners 11

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104951037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 E BROWN RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054955",
            "telephone_number": "480-827-9707",
            "fax_number": "480-962-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 E BROWN RD",
            "address_2": "SUITE101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054955",
            "telephone_number": "480-827-9707",
            "fax_number": "480-962-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS PERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-827-9707"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGILITY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.