Individual provider Active NPI

Nicole M Czekaj, PT MSPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1205847803
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7141 Issued in AZ
Practice address
9097 E Desert Cove Dr
Suite 110
Scottsdale, AZ 85260-6279
Phone
(480) 860-4298
Fax
(480) 860-0356
NPI assigned
Aug 10, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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 7141 AZ Primary

Addresses

Primary practice location

9097 E Desert Cove Dr
Suite 110
Scottsdale, AZ 85260-6279

Mailing address

9097 E Desert Cove Dr
Suite 110
Scottsdale, AZ 85260-6279
Phone (480) 860-4298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061110000204 AZ Practitioner - Physical Therapist in Private Practice 8527066372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

950 E Riggs Rd
Suite 1
Chandler, AZ 85249-5403
Phone (480) 802-8730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation- Tatum, Inc. Physical Therapist CurrentSince Sep 11, 2017 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince May 12, 2021 Accepting new patients
360 Physical Therapy LLC Past Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients
360 Physical Therapy LLC Physical Therapist Past Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients
Continuum Wellness Clinic LLC Physical Therapist Past Accepting new patients

Locations

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

18275 N 59th Ave
Ste 186
Glendale, AZ 85308
Phone (602) 588-0320

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

4550 E Bell Rd
Ste 270
Phoenix, AZ 85032
Phone (602) 424-0494

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1205847803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE DR",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606279",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE DR",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606279",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZEKAJ",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "PT MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7141",
            "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 Sep 11, 2007; 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.