NPIMap

Organization Active NPI

Spooner Physical Therapy & Hand Rehab, PC

Doing business as Spooner South Mountain

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1124441944
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Doing business as
Spooner South Mountain
Practice address
3540 E Baseline Rd Ste 103
Phoenix, AZ 85042-9628
Phone
(602) 243-1476
Fax
(602) 243-1010
NPI assigned
Jan 30, 2014
Organization subpart
Yes
Parent organization
SPOONER PHYSICAL THERAPY & HAND REHAB, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Timothy A Spooner, PT
Title
President
Phone
(480) 551-4958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3540 E Baseline Rd Ste 103
Phoenix, AZ 85042-9628

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (602) 243-1476

Other identifiers 1

IdentifierTypeStateIssuer
324787MedicaidAZ

Other names 1

  • SPOONER SOUTH MOUNTAIN Doing business as

National Provider Directory

National Provider Directory
Part of
Spooner Physical Therap

Locations

9097 E Desert Cove Ave
Ste 101
Scottsdale, AZ 85260

Practitioners & affiliated clinicians

Practitioners 7

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": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1124441944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "602-243-1476",
            "fax_number": "602-243-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E BASELINE RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429628",
            "telephone_number": "602-243-1476",
            "fax_number": "602-243-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
        "enumeration_date": "2014-01-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-551-4958",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324787",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOONER SOUTH MOUNTAIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2025; 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.