Active NPI
Phillip Lawford Pippins, PTA
- Physical Therapy Assistant
- Tempe, AZ
National Provider Identifier
1134080310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-007390
- Practice address
- 65 E University Dr
Tempe, AZ 85281-1091 - Phone
- (480) 317-4444
- NPI assigned
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-007390 | AZ | Primary |
Addresses
Primary practice location
65 E University Dr
Tempe, AZ 85281-1091
Mailing address
3746 S Bridlewood
Mesa, AZ 85212-2652
Phone (888) 531-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-007390 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1134080310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3746 S BRIDLEWOOD",
"city": "MESA",
"state": "AZ",
"postal_code": "852122652",
"telephone_number": "888-531-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E UNIVERSITY DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811091",
"telephone_number": "480-317-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPINS",
"first_name": "PHILLIP",
"middle_name": "LAWFORD",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-18",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "PTA-007390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.