NPIMap

Organization Active NPI

Orthomed LLC

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1174670640
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5840 Issued in AZ
Legal business name
ORTHOMED LLC
Practice address
4570 N 1St Ave
Suite 150
Tucson, AZ 85718-8600
Phone
(520) 321-0204
Fax
(186) 628-1951
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Amanda White
Title
Office Manager
Phone
(520) 797-7246

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5840 AZ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3981 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4077 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 6883 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3289 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5642 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1853 AZ
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 0342 AZ
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225500000X AZ

Addresses

Primary practice location

4570 N 1St Ave
Suite 150
Tucson, AZ 85718-8600

Mailing address

PO Box 43085
Tucson, AZ 85733-3085
Phone (520) 321-0204

Other names 1

  • Proactive Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthomed LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1174670640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43085",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333085",
            "telephone_number": "520-321-0204",
            "fax_number": "520-321-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 N 1ST AVE",
            "address_2": "SUITE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188600",
            "telephone_number": "520-321-0204",
            "fax_number": "186-628-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-797-7246"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5840",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3981",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4077",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6883",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3289",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5642",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1853",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0342",
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.