NPIMap

Organization Active NPI

Carondelet Health Network

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1114110053
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
OTH-4226 Issued in AZ
Legal business name
CARONDELET HEALTH NETWORK
Practice address
8290 South Houghton Road
Tucson, AZ 85747-9702
Phone
(520) 872-7700
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Tom R Pepping, CFO
Title
Chief Financial Offier
Phone
(520) 872-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OTH-4226 AZ Primary

Addresses

Primary practice location

8290 South Houghton Road
Tucson, AZ 85747-9702

Mailing address

2202 North Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7700

Other identifiers 1

IdentifierTypeStateIssuer
OTH-4226OtherAZAZ STATE LICENSE

Other names 1

  • Carondelet Medical Mall At Rita Ranch Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1114110053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 NORTH FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 SOUTH HOUGHTON ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479702",
            "telephone_number": "520-872-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "PEPPING",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFIER",
        "authorized_official_telephone_number": "520-872-7790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTH-4226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "OTH-4226",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carondelet Medical Mall At Rita Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.