Heather Ann Theobald, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

009525 Issued in AZ

Practice address

33300 N 32ND Ave Ste 310
Phoenix, AZ 85085-8826

Phone

(623) 562-3730

Fax

(022) 948-2746

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Alabama College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146
• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
• St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
• Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.theobald.1@31799.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurosurgical Associates, LTD

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1043202484

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Hassan Akinbiyi MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1386115665
  Medicare reassignment NPD
• H & K Interventional

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1811853468
  NPD Authorized official
• Neurosurgical Associates, LTD

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1013797844

  Physical Medicine & Rehabilitation

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • Emergency Care Clinic/Center
  • Litchfield Park, AZ
  • NPI 1265065445

  Hospital

  Care Compare affiliation
• Dignity Health

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1609408665

  Hospital

  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1982733655
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1992131734
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1265063010
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  Care Compare affiliation
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Sedona, AZ
  • NPI 1538608716
  Care Compare affiliation
• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1194201475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3181",
            "fax_number": "022-642-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 N 32ND AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858826",
            "telephone_number": "623-562-3730",
            "fax_number": "022-948-2746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19636 N 27th Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274022",
            "country_code": "US",
            "telephone_number": "623-562-3730",
            "fax_number": "602-294-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEOBALD",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "009525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150612",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric C Theis, PHARMD
• Madison Theis
• Sharon Theisen
• Thekey of Arizona, LLC
• Hanna Theobald
• Theodore L Rudberg MD PC
• Karen A Theoharatos, LPC
• Thera-Que
• Therapeutic Fitness PLLC
• Therapez LLC

• Physical Medicine & Rehabilitation Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.