Active NPI
Viking Therapy, LTD.
- Home Health Agency
- Gilbert, AZ
National Provider Identifier
1114032000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2559
- Legal business name
- VIKING THERAPY, LTD.
- Practice address
- 2093 E Willow Wick Rd
Gilbert, AZ 85296-2747 - Phone
- (480) 205-6917
- NPI assigned
- Aug 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Charles Kahlbaugh, OT
- Title
- President/Ceo
- Phone
- (480) 205-6917
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2559 | AZ | Primary |
Addresses
Primary practice location
2093 E Willow Wick Rd
Gilbert, AZ 85296-2747
Mailing address
2093 E Willow Wick Rd
Gilbert, AZ 85296-2747
Phone (480) 205-6917
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pediatric Occupational Therapist
- Gilbert, AZ
- NPI 1366501702
-
- Occupational Therapy Assistant
- Gilbert, AZ
- NPI 1487877262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114032000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2093 E WILLOW WICK RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962747",
"telephone_number": "480-205-6917",
"fax_number": "480-361-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2093 E WILLOW WICK RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962747",
"telephone_number": "480-205-6917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIKING THERAPY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAHLBAUGH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "480-205-6917",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "2559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, 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.