NPIMap

Organization Active NPI

Ignite Physical Therapy and Wellness

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1154951705
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IGNITE PHYSICAL THERAPY AND WELLNESS
Practice address
3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412
Phone
(480) 883-0202
Fax
(480) 883-0303
NPI assigned
Jan 23, 2020
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Tara PoloniNPI 1033435888
Title
Owner
Phone
(480) 883-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412

Mailing address

3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412
Phone (480) 883-0202

National Provider Directory

National Provider Directory

Locations

3970 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 883-0202

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1154951705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "POLONI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-883-0202"
    },
    "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 Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.