NPIMap

Organization Active NPI

Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Laveen, AZ
National Provider Identifier
1124530092
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Practice address
5215 W Baseline Rd Ste 101
Laveen, AZ 85339-2943
Phone
(480) 551-4966
Fax
(480) 247-8499
NPI assigned
Oct 31, 2017
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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5215 W Baseline Rd Ste 101
Laveen, AZ 85339-2943

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (623) 219-4600

Other identifiers 1

IdentifierTypeStateIssuer
324787MedicaidAZ

Other names 1

  • SPOONER LAVEEN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spooner Physical Therap16 organizations share this tax ID, including this one
Part of
Spooner Physical Therap

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 2

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1124530092",
    "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": "623-219-4600",
            "fax_number": "623-219-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W BASELINE RD STE 101",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392943",
            "telephone_number": "480-551-4966",
            "fax_number": "480-247-8499"
        }
    ],
    "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": "2017-10-31",
        "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324787",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOONER LAVEEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, 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.