Organization Active NPI

Exos Ap Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1235455957
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS AP ARIZONA, LLC
Practice address
2629 E Rose Garden LN
Phoenix, AZ 85050-4605
Phone
(602) 971-2222
Fax
(602) 971-0329
NPI assigned
Apr 20, 2010
Organization subpart
Yes
Parent organization
ATHLETES PERFORMANCE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
James Godin, PT
Title
Director
Phone
(207) 232-8692

Specialties & licenses 1

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

Addresses

Primary practice location

2629 E Rose Garden LN
Phoenix, AZ 85050-4605

Mailing address

2629 E Rose Garden LN
Phoenix, AZ 85050-4605
Phone (602) 971-2222

National Provider Directory

National Provider Directory
Tax ID family
Exos Ap Arizona LLC3 organizations share this tax ID, including this one
Part of
Exos Ap Arizona LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2629 E Rose Garden Ln
Phoenix, AZ 85050
Phone (480) 449-9000

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1235455957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "602-971-2222",
            "fax_number": "602-971-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "602-971-2222",
            "fax_number": "602-971-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS AP ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHLETES PERFORMANCE, INC",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-232-8692",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.