NPIMap

Organization Active NPI

Lone Tree Physical Therapy LLC

  • Physical Therapist
  • Chino Valley, AZ
National Provider Identifier
1174505812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LONE TREE PHYSICAL THERAPY LLC
Practice address
1596 Susan a Williams Way
Suite D
Chino Valley, AZ 86323-6172
Phone
(928) 636-7950
Fax
(928) 636-7951
NPI assigned
Nov 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nichole Lei Boy, PT, ATC
Title
Sole Member
Phone
(928) 636-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1596 Susan a Williams Way
Suite D
Chino Valley, AZ 86323-6172

Mailing address

1596 Susan a Williams Way
Suite D
Chino Valley, AZ 86323-6172
Phone (928) 636-7950

National Provider Directory

National Provider Directory

Locations

1596 Susan a Williams Way
Ste D
Chino Valley, AZ 86323
Phone (928) 636-7950

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174505812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 SUSAN A WILLIAMS WAY",
            "address_2": "SUITE D",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236172",
            "telephone_number": "928-636-7950",
            "fax_number": "928-636-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 SUSAN A WILLIAMS WAY",
            "address_2": "SUITE D",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236172",
            "telephone_number": "928-636-7950",
            "fax_number": "928-636-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOY",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "928-636-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.