Organization Active NPI

Tucson Hacienda River, LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1194295733
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TUCSON HACIENDA RIVER, LLC
Practice address
2720 E River Rd
Tucson, AZ 85718-6636
Phone
(520) 485-1020
NPI assigned
Nov 27, 2018
Organization subpart
Yes
Parent organization
TUCSON HACIENDA RIVER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
David Freshwater
Title
Authorized Official
Phone
(520) 797-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2720 E River Rd
Tucson, AZ 85718-6636

Mailing address

2720 E River Rd
Tucson, AZ 85718-6636

Other names 1

  • Restore at The Hacienda at the River Doing business as

National Provider Directory

National Provider Directory
Part of
Tucson Hacienda River LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1194295733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186636",
            "telephone_number": "520-485-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON HACIENDA RIVER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUCSON HACIENDA RIVER, LLC",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "FRESHWATER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore at The Hacienda at the River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 27, 2018; 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.