Individual provider Active NPI

Shaheen Siddiqui, M.S.P.T.

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1154550457
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6170 Issued in AZ
Practice address
610 N Alma School Rd
Ste 52
Chandler, AZ 85224-3600
Phone
(480) 772-7532
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6170 AZ Primary

Addresses

Primary practice location

610 N Alma School Rd
Ste 52
Chandler, AZ 85224-3600

Mailing address

610 N Alma School Rd
Ste 52
Chandler, AZ 85224-3600
Phone (623) 398-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002521 AZ Practitioner - Physical Therapist in Private Practice 0749250017 Practice locations: Chandler, AZ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 E Frye Rd
Suite 1
Chandler, AZ 85225-6320
Phone (480) 772-7532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6170AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Orthopedic PT PastSince Oct 6, 2016 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist PastSince Mar 1, 2016 Accepting new patients
Spooner Rehab, PC Physical Therapist Past Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1154550457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "STE 52",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243600",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "STE 52",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243600",
            "telephone_number": "480-772-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SHAHEEN",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.