Active NPI
Nicholas Parker, PT, DPT
- Orthopedic Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1215745898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- LPT-033991
- Practice address
- 5111 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-7076 - Phone
- (480) 990-1379
- NPI assigned
- Dec 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | LPT-033991 | AZ | Primary |
Addresses
Primary practice location
5111 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-7076
Mailing address
1100 E Osborn Rd Apt 244
Phoenix, AZ 85014-5262
Phone (385) 333-2757
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-033991 | AZ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1215745898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E OSBORN RD APT 244",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145262",
"telephone_number": "385-333-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 N SCOTTSDALE RD STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852507076",
"telephone_number": "480-990-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "NICHOLAS",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "LPT-033991",
"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 Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.