Pro Motion Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5192 Issued in AZ

Legal business name

PRO MOTION PHYSICAL THERAPY INC

Practice address

6535 W Camelback Rd Ste 6
Phoenix, AZ 85033-1608

Phone

(623) 873-4000

Fax

(623) 873-9000

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Stephen P Haynes, PTNPI 1811095557

Title

Owner

Phone

(623) 873-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Patrick Haynes, PHYSICAL THERAPIST

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1811095557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1235200569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 W CAMELBACK RD STE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331608",
            "telephone_number": "623-873-4000",
            "fax_number": "623-873-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 W CAMELBACK RD STE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331608",
            "telephone_number": "623-873-4000",
            "fax_number": "623-873-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MOTION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-873-4000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.