The Pass Program LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE PASS PROGRAM LLC

Doing business as

Elitelevelpt

Practice address

3555 W Pinnacle Peak Rd
Glendale, AZ 85310-4338

Phone

(480) 433-9600

Fax

(480) 907-2301

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Archuleta

Title

Director

Phone

(480) 433-9600

Specialties & licenses 1

Addresses

Other names 1

• ELITELEVELPT Doing business as

Locations

Practitioners 1

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.

• Christopher Stephen O'Donnell, PT

  • Physical Therapist
  • Glendale, AZ
  • NPI 1245282961
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1205544707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 W KELLER DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861572",
            "telephone_number": "623-512-6065",
            "fax_number": "480-907-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W PINNACLE PEAK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104338",
            "telephone_number": "480-433-9600",
            "fax_number": "480-907-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PASS PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-433-9600"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITELEVELPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.