Individual provider Active NPI

Nicole McCants, PT, DPT

  • Pediatric Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1215337944
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
11151PT Issued in AZ
Practice address
16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401
Phone
(480) 704-5954
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 11151PT AZ Primary

Addresses

Primary practice location

16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401

Mailing address

16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11151PTAZMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carling Physical Therapy CurrentSince May 11, 2025 Accepting new patients
Desert Valley Pediatric Therapy Past Accepting new patients
Advanced Neurologic Rehabilitation PastSince Sep 11, 2022 Accepting new patients

Locations

1447 W Elliot Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 699-4845

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1215337944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16815 S DESERT FOOTHILLS PKWY",
            "address_2": "SUITE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 S DESERT FOOTHILLS PKWY",
            "address_2": "SUITE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488401",
            "telephone_number": "480-704-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANTS",
        "first_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "11151PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.