Active NPI
Nicholas Ryan Bibeau, DPT
- Physical Therapist
- Apache Junction, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30635
- Practice address
- 1075 S Idaho Rd Ste 210
Apache Junction, AZ 85119-6405 - Phone
- (480) 983-0877
- Fax
- (480) 983-3172
- NPI assigned
- Feb 7, 2018
- Last updated
- Dec 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30635 | AZ | Primary |
Addresses
Primary practice location
1075 S Idaho Rd Ste 210
Apache Junction, AZ 85119-6405
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000
Other practice location 1
40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036
Phone (602) 648-5444
Other practice location 2
6620 E McKellips Rd Ste 105
Mesa, AZ 85215-2867
Phone (602) 648-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1075 S Idaho Rd
Suite 210
Apache Junction, AZ 85119-6405
Phone (480) 983-0877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11350 | TN | MD | General Practice Dentistry |
| LPT-30635 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America, PLLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Continuum Wellness Clinic LLC | Physical Therapist | Current | Accepting new patients |
| Continuum Wellness Clinic, LLC | Current | Accepting new patients |
Locations
1075 S Idaho Rd
Ste 210
Apache Junction, AZ 85119
Phone (480) 983-0877
6620 E McKellips Rd
Ste 105
Mesa, AZ 85215
Phone (602) 922-9090
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Apache Junction, AZ
- NPI 1972684132
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Durable Medical Equipment & Medical Supplies
- Chandler, AZ
- NPI 1982968087
-
dba OrthoArizona
- Multi-Specialty Clinic/Center
- Cave Creek, AZ
- NPI 1679181275
Physical Therapist
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1174022990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 S IDAHO RD STE 210",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851196405",
"telephone_number": "480-983-0877",
"fax_number": "480-983-3172"
}
],
"practiceLocations": [
{
"address_1": "40601 N Gantzel Rd Ste 103",
"address_purpose": "LOCATION",
"city": "San Tan Valley",
"state": "AZ",
"postal_code": "851407036",
"country_code": "US",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6620 E McKellips Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852152867",
"country_code": "US",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIBEAU",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.