NPIMap

Organization Active NPI

Polaris Physical Therapy P.C.

  • Orthopedic Physical Therapist
  • Tucson, AZ
National Provider Identifier
1184628562
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3974 Issued in AZ
Legal business name
POLARIS PHYSICAL THERAPY P.C.
Practice address
2404 E River Road
Tucson, AZ 85718
Phone
(520) 408-9868
Fax
(520) 300-7020
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Matthew Lincoln Sparrow, M.P.T.
Title
Owner
Phone
(520) 408-9868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 3974 AZ Primary

Addresses

Primary practice location

2404 E River Road
Tucson, AZ 85718

Mailing address

2404 E River Road
Tucson, AZ 85718
Phone (520) 408-9868

Other identifiers 1

IdentifierTypeStateIssuer
AZ0299910OtherAZBCBS OF ARIZONA

National Provider Directory

National Provider Directory

Locations

4892 N Stone Ave
Ste 160
Tucson, AZ 85704
Phone (520) 408-9868

2404 E River Rd
#1
Tucson, AZ 85718
Phone (520) 408-9868

2404 E River Rd
Bldg 1
Tucson, AZ 85718
Phone (520) 365-1441

Practitioners & affiliated clinicians

Practitioners 11

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": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1184628562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 E RIVER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-408-9868",
            "fax_number": "520-300-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-408-9868",
            "fax_number": "520-300-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "SPARROW",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-408-9868",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0299910",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 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.