Individual provider Active NPI

Elisa Marie Passaro, P.T.

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1225168263
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4190 Issued in AZ
Practice address
33747 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85266-1565
Phone
(480) 687-7535
Fax
(480) 687-9141
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 4190 AZ Primary

Addresses

Primary practice location

33747 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85266-1565

Mailing address

3935 E Roughrider Road
#1055
Phoenix, AZ 85050-7350
Phone (602) 463-7797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000494 AZ Practitioner - Physical Therapist in Private Practice 0547213043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4190AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Radical1, LLC Current Accepting new patients
Foothills Sports Medicine & Orthopaedics Phoenix, LLC Physical Therapist CurrentSince Feb 11, 2008 Accepting new patients
Foothills Sports Medicine & Rehabilitation- Tatum, Inc. Physical Therapist CurrentSince Sep 2, 2009 Accepting new patients
Wellness Advantage Inc Past Accepting new patients
Strength Training Inc PastSince Aug 10, 2018 Accepting new patients
Neurosurgical Associates, LTD Physical Therapist PastSince May 31, 2016 Accepting new patients

Locations

16421 N Tatum Blvd
#208
Phoenix, AZ 85032
Phone (602) 923-6600

539 E Glendale Ave
Ste 105
Phoenix, AZ 85020
Phone (602) 241-3145

539 E Glendale Ave
Ste 5
Phoenix, AZ 85020
Phone (602) 241-3145

4550 E Bell Rd
Ste 270
Phoenix, AZ 85032
Phone (602) 424-0494

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

Organizations & group practices 6

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1225168263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 E ROUGHRIDER ROAD",
            "address_2": "#1055",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507350",
            "telephone_number": "602-463-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33747 N SCOTTSDALE RD",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661565",
            "telephone_number": "480-687-7535",
            "fax_number": "480-687-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARO",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4190",
            "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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.