NPIMap

Organization Active NPI

Canyon State Physical Therapy

Doing business as Physicians Physical Therapy Service

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1225087158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CANYON STATE PHYSICAL THERAPY
Doing business as
Physicians Physical Therapy Service
Practice address
8811 N 51St Ave
Suite 102
Glendale, AZ 85302-4949
Phone
(623) 915-2726
Fax
(623) 915-2728
NPI assigned
May 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric Percy-Fine, PTNPI 1053314138
Title
Owner/President
Phone
(623) 915-2726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

8811 N 51St Ave
Suite 102
Glendale, AZ 85302-4949

Mailing address

8811 N 51St Ave
Suite 102
Glendale, AZ 85302-4949
Phone (623) 915-2726

Other names 1

  • Physicians Physical Therapy Service Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225087158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 N 51ST AVE",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024949",
            "telephone_number": "623-915-2726",
            "fax_number": "623-915-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 N 51ST AVE",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024949",
            "telephone_number": "623-915-2726",
            "fax_number": "623-915-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON STATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERCY-FINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "623-915-2726",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Physical Therapy Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.