Active NPI
Elisa Marie Passaro, P.T.
- Physical Therapist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4190
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000494 | AZ | Practitioner - Physical Therapist in Private Practice | 0547213043 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4190 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radical1, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Orthopaedics Phoenix, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation- Tatum, Inc. | Physical Therapist | Current | Accepting new patients |
| Wellness Advantage Inc | Past | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients | |
| Neurosurgical Associates, LTD | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Carefree, AZ
- NPI 1396615969
-
- Physical Therapist
- Phoenix, AZ
- NPI 1457304792
-
- Physical Therapist
- Phoenix, AZ
- NPI 1386691947
-
- Neurological Surgery Physician
- Phoenix, AZ
- NPI 1043202484
Physical Therapist
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
-
- Occupational Therapist
- Scottsdale, AZ
- NPI 1669504692
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.