Alpha and Omega Physical Therapy Acc

Key facts

NPI

1194153916

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

Legal business name

ALPHA AND OMEGA PHYSICAL THERAPY ACC

Practice address

861 E Cooley St # B
Show Low, AZ 85901

Phone

(928) 537-2678

NPI assigned

Oct 15, 2013

Organization subpart

No

Authorized official

Name

Suzette Cottrell

Title

Office Manager

Phone

(623) 278-5835

Corporate family (same tax ID) 1

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

• Alpha and Omega Physical Therapy Acc Physical Therapist · Show Low, AZ · NPI 1245202456
  NPD tax ID

Practitioners 4

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

• Milton Gregory Randall, P.T. Physical Therapist · Show Low, AZ · NPI 1255376240
  NPD PHYSICAL THERAPIST
• Tami Bonebrake, PT Physical Therapist · Whiteriver, AZ · NPI 1144252032
  NPD (past) PHYSICAL THERAPIST
• John Dallas Davis, DPT Physical Therapist · Show Low, AZ · NPI 1881860252
  NPD (past) PHYSICAL THERAPIST
• Simone McEuen, DPT Physical Therapist · Show Low, AZ · NPI 1235596123
  NPD (past) PHYSICAL THERAPIST

National Provider Directory

Tax ID family

Alpha and Omega Physical Therapy (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1194153916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 E COOLEY ST # B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015121",
            "telephone_number": "928-537-2678",
            "fax_number": "866-762-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 E COOLEY ST # B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "85901",
            "telephone_number": "928-537-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AND OMEGA PHYSICAL THERAPY ACC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-278-5835"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

• Tushar Alladi
• Alisa Allen
• John Thomas Allen, P.T.A.
• Norma Beth Allen
• Alliance Healthcare Services Inc
• Alpha and Omega Physical Therapy Acc
• Keith Zarahi Amaral, MD
• Joann Anderson, CRNA
• Anesthesia Consultants of Northern Arizona LLC
• Jane Elizabeth Angell, MSW LCSW

All providers in Show Low, AZ · Physical Therapist in Arizona