NPIMap

Organization Active NPI

Women's Center for Wellness and Rehabiliation

Doing business as Desert Physical Therapy and Pelvic Health

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1174932891
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7003 Issued in AZ
Legal business name
WOMEN'S CENTER FOR WELLNESS AND REHABILIATION
Doing business as
Desert Physical Therapy and Pelvic Health
Practice address
4545 E Shea Blvd
Suite 168
Phoenix, AZ 85028-3074
Phone
(602) 264-3369
NPI assigned
Aug 6, 2014
Last updated
Aug 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Tara Beran, PTNPI 1366494064
Title
Owner
Phone
(602) 264-3369

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 13-1365 AZ
Physical Therapist 225100000X 2817 AZ
Physical Therapist 225100000X 6451 AZ
Physical Therapist 225100000X 10027 AZ
Physical Therapist 225100000X 7003 AZ Primary

Addresses

Primary practice location

4545 E Shea Blvd
Suite 168
Phoenix, AZ 85028-3074

Mailing address

4545 E Shea Blvd
Suite 168
Phoenix, AZ 85028-3074
Phone (602) 264-3369

Other names 1

  • Desert Physical Therapy and Pelvic Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1174932891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "SUITE 168",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "602-264-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "SUITE 168",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "602-264-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CENTER FOR WELLNESS AND REHABILIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "BERAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-264-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1365",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2817",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6451",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10027",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Physical Therapy and Pelvic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2014; 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.