NPIMap

Organization Active NPI

Diamondback Physical Therapy

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1215923677
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DIAMONDBACK PHYSICAL THERAPY
Practice address
323 S Gilbert Rd
Suite # 115
Gilbert, AZ 85296-1602
Phone
(480) 632-6667
Fax
(480) 632-6668
NPI assigned
Sep 21, 2005
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Rainey H. Garrrison
Title
Business Manager
Phone
(480) 632-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

323 S Gilbert Rd
Suite # 115
Gilbert, AZ 85296-1602

Mailing address

323 S Gilbert Rd
Suite # 115
Gilbert, AZ 85296-1602
Phone (480) 632-6667

Other identifiers 1

IdentifierTypeStateIssuer
484444MedicaidAZ

National Provider Directory

National Provider Directory

Locations

323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296
Phone (480) 632-6667

7 E Palo Verde St
Ste 1
Gilbert, AZ 85296
Phone (480) 632-6667

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1215923677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD",
            "address_2": "SUITE # 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961602",
            "telephone_number": "480-632-6667",
            "fax_number": "480-632-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD",
            "address_2": "SUITE # 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961602",
            "telephone_number": "480-632-6667",
            "fax_number": "480-632-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMONDBACK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GARRRISON",
        "authorized_official_first_name": "RAINEY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-632-6667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484444",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.