Active NPI
Steven Egeberg, PT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1184137531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13327
- Practice address
- 8685 W Union Hills Dr
Peoria, AZ 85382-7006 - Phone
- (623) 486-2331
- Fax
- (623) 486-3136
- NPI assigned
- Nov 8, 2017
- Last updated
- Nov 8, 2017
- 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 | 13327 | AZ | Primary |
Addresses
Primary practice location
8685 W Union Hills Dr
Peoria, AZ 85382-7006
Mailing address
8685 W Union Hills Dr
Peoria, AZ 85382-7006
Phone (623) 486-2331
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)
1255 N Arizona Ave
Unit 1217
Chandler, AZ 85225-0710
Phone (602) 380-6807
7310 N 16TH St
Phoenix, AZ 85020-5258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13327 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Therapy LLC | Current | Accepting new patients | |
| Capptcg, LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Az LLC | Physical Therapist | Current | Accepting new patients |
Locations
7310 N 16th St
Ste 100
Phoenix, AZ 85020
Organizations & group practices 3
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
- Prescott, AZ
- NPI 1982329850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1184137531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8685 W UNION HILLS DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853827006",
"telephone_number": "623-486-2331",
"fax_number": "623-486-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 W UNION HILLS DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853827006",
"telephone_number": "623-486-2331",
"fax_number": "623-486-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGEBERG",
"first_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.