Individual provider Active NPI

William James Kobetitsch, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1194238295
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32881 Issued in AZ
Practice address
9917 N 95TH St
Scottsdale, AZ 85258-4586
Phone
(480) 314-1553
Fax
(480) 314-5795
NPI assigned
Nov 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32881 AZ Primary

Addresses

Primary practice location

9917 N 95TH St
Scottsdale, AZ 85258-4586

Mailing address

9917 N 95TH St
Scottsdale, AZ 85258-4586
Phone (480) 314-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180131000774 NY Practitioner - Physical Therapist in Private Practice 2668732223 Reassigns benefits to 1 organization
I20240313002044 AZ Practitioner - Physical Therapist in Private Practice 2668732223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32881AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Mar 2, 2020 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 30, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 30, 2024 Accepting new patients

Locations

1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

9917 N 95th St
Scottsdale, AZ 85258
Phone (480) 205-4227

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1194238295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584586",
            "telephone_number": "480-314-1553",
            "fax_number": "480-314-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9917 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584586",
            "telephone_number": "480-314-1553",
            "fax_number": "480-314-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBETITSCH",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.

Verify at the official NPI Registry.