Mary D Reidhead, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4116 Issued in AZ

Practice address

1221 W Warner Rd Ste 102
Tempe, AZ 85284-1906

Phone

(480) 735-0124

Fax

(480) 735-0126

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DHHS IHS Phoenix Area

  • Clinic/Center
  • Cibecue, AZ
  • NPI 1427335181
  NPD (past)
• Neuro Institute, Inc

  • Rehabilitation Practitioner
  • Tempe, AZ
  • NPI 1194813279
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1114932803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841906",
            "telephone_number": "480-735-0124",
            "fax_number": "480-735-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841906",
            "telephone_number": "480-735-0124",
            "fax_number": "480-735-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDHEAD",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Regalado
• Regenesis Healthcare, Inc
• Claire Marie Regnitz, MS, PA-C
• Rehab Lab Arizona
• Joseph Stanley Reidhead, D.D.S.
• Crystal G Reidy, M.ED
• Michelle Reijonen, PMHNP
• Shirley Reimer
• Danae Reiners
• Relaxingone.Comneddavidbratspispc

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.