Individual provider Active NPI

Isaak Duncan, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1164851267
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11636 Issued in AZ
Practice address
444 W Osborn Rd
Suite 303
Phoenix, AZ 85013-3814
Phone
(602) 279-8022
Fax
(602) 279-8029
NPI assigned
Nov 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6855586-2401 UT
Physical Therapist 225100000X 11636 AZ Primary

Addresses

Primary practice location

444 W Osborn Rd
Suite 303
Phoenix, AZ 85013-3814

Mailing address

444 W Osborn Rd
Suite 303
Phoenix, AZ 85013-3814
Phone (602) 279-8022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922000631 AZ Practitioner - Physical Therapist in Private Practice 4183852221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strength Training IncGroup PAC ID 8325948094, 20 clinicians

Practice addresses (Care Compare)

17233 N Holmes Blvd
Suite 1650
Phoenix, AZ 85053-2030
Phone (602) 547-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11636AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Training Inc Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Strength Training Inc PastSince Mar 1, 2016 Accepting new patients

Locations

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

4801 E McDowell Rd
Ste 100
Phoenix, AZ 85008
Phone (602) 956-2850

444 W Osborn Rd
Ste 303
Phoenix, AZ 85013
Phone (602) 279-8022

4840 E Indian School Rd
Ste 103
Phoenix, AZ 85018
Phone (602) 547-1836

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

Organizations & group practices 2

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1164851267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W OSBORN RD",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133814",
            "telephone_number": "602-279-8022",
            "fax_number": "602-279-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OSBORN RD",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133814",
            "telephone_number": "602-279-8022",
            "fax_number": "602-279-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ISAAK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-08",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6855586-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11636",
            "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 Jul 21, 2015; 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.