NPIMap

Organization Active NPI

Exos - Athletes Performance Arizona LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1154483170
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS - ATHLETES PERFORMANCE ARIZONA LLC
Practice address
2629 E Rose Garden LN
Phoenix, AZ 85050-4605
Phone
(480) 449-9000
Fax
(480) 449-9200
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Ms. Sheri Walters, PT
Title
Director, Physical Therapy
Phone
(214) 618-3246

Specialties & licenses 1

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

Addresses

Primary practice location

2629 E Rose Garden LN
Phoenix, AZ 85050-4605

Mailing address

2629 E Rose Garden LN
Phoenix, AZ 85050-4605
Phone (480) 449-9000

National Provider Directory

National Provider Directory
Tax ID family
Exos - Athletes Performance Arizona LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1154483170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "480-449-9000",
            "fax_number": "480-449-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "480-449-9000",
            "fax_number": "480-449-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS - ATHLETES PERFORMANCE ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICAL THERAPY",
        "authorized_official_telephone_number": "214-618-3246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 12, 2014; 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.