Active NPI
West Az PT LLC
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1174249072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WEST AZ PT LLC
- Practice address
- 3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648 - Phone
- (602) 715-2237
- Fax
- (602) 715-2238
- NPI assigned
- Oct 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kruti Patel, DPT
- Title
- Provider/Part Owner
- Phone
- (602) 430-1993
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648
Mailing address
3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648
Phone (602) 715-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1770029266
-
- Physical Therapist
- Chandler, AZ
- NPI 1295190536
-
- Physical Therapist
- Phoenix, AZ
- NPI 1528897089
-
- Physical Therapist
- Phoenix, AZ
- NPI 1124512496
-
- Physical Therapist
- Chandler, AZ
- NPI 1023237922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1174249072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 E GREENWAY RD STE 106",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324648",
"telephone_number": "602-715-2237",
"fax_number": "602-715-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 E GREENWAY RD STE 106",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324648",
"telephone_number": "602-715-2237",
"fax_number": "602-715-2238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST AZ PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KRUTI",
"authorized_official_title_or_position": "PROVIDER/PART OWNER",
"authorized_official_telephone_number": "602-430-1993",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Oct 13, 2022; 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.