Active NPI
Nossek Rehab LLC
Doing business as Payson Physical Therapy
- Physical Therapist
- Payson, AZ
National Provider Identifier
1194943423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NOSSEK REHAB LLC
- Doing business as
- Payson Physical Therapy
- Practice address
- 405 W Main St
Suite D
Payson, AZ 85541-5333 - Phone
- (928) 474-0429
- Fax
- (928) 474-0199
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott J Nossek, PT
- Title
- Owner
- Phone
- (928) 474-0429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary | |
| Speech-Language Pathologist | 235Z00000X | AZ |
Addresses
Primary practice location
405 W Main St
Suite D
Payson, AZ 85541-5333
Mailing address
405 W Main St
Suite D
Payson, AZ 85541-5333
Phone (928) 474-0429
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194960 | Medicaid | AZ | |
| AZ-1730-1201 | Other | AZ | PTP |
| 670821 | Other | AZ | ACN |
| 000227851 | Other | AZ | CMDP |
| AZ0293830 | Other | AZ | BCBS |
| 1004136 | Other | AZ | CIGNA |
| 64-00187 | Other | AZ | UHC |
Other names 1
- Payson Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Electrodiagnostic Rehab Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Lima, OH
- NPI 1417179730
Locations
405 W Main St
Ste D
Payson, AZ 85541
Phone (928) 474-0429
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Payson, AZ
- NPI 1861495210
-
- Speech-Language Pathologist
- Payson, AZ
- NPI 1023019684
-
- Physical Therapist
- Payson, AZ
- NPI 1366445710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194943423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"address_2": "SUITE D",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415333",
"telephone_number": "928-474-0429",
"fax_number": "928-474-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"address_2": "SUITE D",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415333",
"telephone_number": "928-474-0429",
"fax_number": "928-474-0199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOSSEK REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NOSSEK",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-474-0429",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194960",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTP",
"identifier": "AZ-1730-1201",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "670821",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMDP",
"identifier": "000227851",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0293830",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1004136",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "64-00187",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Payson Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Payson, AZ
- North Beeline (Anderson Dental Group)
- North Beeline Dental LLC (Anderson Dental Group)
- North Country Healthcare Inc
- Northern Arizona Pain Services LLC (Integricare AZ)
- Northland Hearing Centers, Inc. (SoundPoint Hearing Centers)
- Scott Nossek, PT, MS
- Kelly Odegaard, PHARMD
- Ordinary Lifestyles, LLC
- Ordinary Lifestyles, LLC (Ordinary Lifestyles IV)
- Ordinary Lifestyles, LLC (Ordinary Lifestyles II)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.