Ahwatukee Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AHWATUKEE PHYSICAL THERAPY INC

Doing business as

Ahwatukee Physical Therapy

Practice address

4425 E Agave Rd Ste 100
Phoenix, AZ 85044-0620

Phone

(480) 785-1043

Fax

(480) 785-1124

NPI assigned

Dec 1, 2011

Last updated

Mar 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Burness, DPTNPI 1619050614

Title

President

Phone

(480) 785-1043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ahwatukee Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Eric S. Burness, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1619050614
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Maria Dulis, PT, DPT, CSCS

  • Physical Therapist
  • Mesa, AZ
  • NPI 1902510282
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1164790481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440620",
            "telephone_number": "480-785-1043",
            "fax_number": "480-785-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440620",
            "telephone_number": "480-785-1043",
            "fax_number": "480-785-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "BURNESS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-785-1043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahwatukee Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ahwatukee Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahwatukee Health Care, LLC (Ahwatukee Behavioral Health and Wellness)
• Ahwatukee Integrated Chiropractic, P.L.L.C. (Ahwatukee Integrated Health)
• Ahwatukee MC Care Properties, LLC (Hawthorn Court at Ahwatukee)
• Ahwatukee Orthodontic Associates Inc
• Ahwatukee Pediatrics, P.C.
• Ahwatukee Psychology LLC
• Ahwatukee Skin & Laser LLC
• Ahwatukee Sports and Spine PLC
• Ahwatukee Surgery Center, PC
• Aia Hospitalists LLC (Alliance Hospitalists)

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.