NPIMap

Organization Active NPI

Above & Beyond Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1124011812
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ABOVE & BEYOND THERAPY SERVICES LLC
Practice address
3233 W Peoria Ave
Suite 224
Phoenix, AZ 85029-4614
Phone
(602) 866-2231
Fax
(602) 866-2261
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. Thomas J Long, PTNPI 1053304840
Title
Owner/PT
Phone
(602) 866-2231

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X AZ
Physical Therapy Clinic/Center 261QP2000X AZ Primary
Rehabilitation Clinic/Center 261QR0400X AZ

Addresses

Primary practice location

3233 W Peoria Ave
Suite 224
Phoenix, AZ 85029-4614

Mailing address

3233 W Peoria Ave
Suite 224
Phoenix, AZ 85029-4614
Phone (602) 866-2231

Other identifiers 1

IdentifierTypeStateIssuer
637689MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050802001349 AZ Part B Supplier - Clinic/Group Practice 6709814429 Receives reassigned benefits from 5 practitioners
Practice locations: Queen Creek, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3201 W Peoria Ave
Ste D800
Phoenix, AZ 85029
Phone (602) 866-2231

21321 E Ocotillo Rd
Ste 122
Queen Creek, AZ 85142
Phone (480) 987-1870

21321 E Ocotillo Rd
Ste I122
Queen Creek, AZ 85142
Phone (480) 309-3660

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1124011812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 W PEORIA AVE",
            "address_2": "SUITE 224",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294614",
            "telephone_number": "602-866-2231",
            "fax_number": "602-866-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 W PEORIA AVE",
            "address_2": "SUITE 224",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294614",
            "telephone_number": "602-866-2231",
            "fax_number": "602-866-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "602-866-2231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637689",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.