Arizona Orthopedic Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC

Practice address

9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005

Phone

(623) 242-6908

Fax

(623) 242-6909

NPI assigned

Mar 5, 2015

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLCAs reported in NPPES

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

Authorized official

Name

Ryann P Roberts, PTNPI 1760581557

Title

Owner

Phone

(623) 242-6908

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Arizona Orthopedic Physical6 organizations share this tax ID, including this one

Part of

Arizona Orthopedic Physical

Other organizations with this tax ID 5

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

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1043853906
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1063055929
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Prescott, AZ
  • NPI 1639712110
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1760025621
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  NPPES parent name

Practitioners 1

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.

• Ryann P Roberts

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1760581557
  Authorized official Same address or phone

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1164815874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959218",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073005",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14535 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853959262",
            "country_code": "US",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC",
        "enumeration_date": "2015-03-05",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RYANN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-242-6908",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156886",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@azopt.net",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9980 W Glendale Ave Ste 110",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853073005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.