Individual provider Active NPI

Marcus R Neal, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1205926391
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7423 Issued in AZ
Practice address
7400 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone
(520) 531-0305
Fax
(520) 742-4907
NPI assigned
Oct 13, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 7423 AZ Primary

Addresses

Primary practice location

7400 N la Cholla Blvd
Tucson, AZ 85741-2306

Mailing address

7400 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 531-0305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000382 AZ Practitioner - Physical Therapist in Private Practice 2769482694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Palms Physical Therapy Oro Valley LLCGroup PAC ID 5496972168, 4 clinicians
Desert Palms Physical Therapy P.C.Group PAC ID 8921096157, 3 clinicians

Practice addresses (Care Compare)

12142 N Rancho Vistoso Blvd
Suite B150
Oro Valley, AZ 85755-1842
Phone (520) 338-2728

7400 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 531-0305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7423AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Palms Physical Therapy PC Physical Therapist CurrentSince Nov 6, 2015 Accepting new patients
Desert Palms Physical Therapy - Oro Valley, LLC Physical Therapist CurrentSince Jul 15, 2014 Accepting new patients
Sonoran Shoulder Elbow Hand Rehab PC Past Accepting new patients

Locations

12142 N Rancho Vistoso Blvd
Ste B150
Oro Valley, AZ 85755
Phone (520) 338-2728

7400 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 531-0305

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1205926391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-531-0305",
            "fax_number": "520-742-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-531-0305",
            "fax_number": "520-742-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MARCUS",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 4, 2013; 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.