Active NPI
Gemini Physical Therapy and Rehabilitation LLC
- Physical Therapist
- Yuma, AZ
National Provider Identifier
1245357219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3625
- Legal business name
- GEMINI PHYSICAL THERAPY AND REHABILITATION LLC
- Practice address
- 2581 S Cheyenne Ave
Yuma, AZ 85365-7895 - Phone
- (928) 246-2865
- Fax
- (928) 344-3965
- NPI assigned
- Mar 23, 2007
- Last updated
- Jun 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Thomas, PT
- Title
- PT
- Phone
- (928) 246-2865
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3625 | AZ | Primary |
Addresses
Primary practice location
2581 S Cheyenne Ave
Yuma, AZ 85365-7895
Mailing address
PO Box 152
Yuma, AZ 85366-2307
Phone (928) 246-2865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364448 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Yuma, AZ
- NPI 1407914799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308700800000",
"number": "1245357219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152",
"city": "YUMA",
"state": "AZ",
"postal_code": "853662307",
"telephone_number": "928-246-2865",
"fax_number": "928-344-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2581 S CHEYENNE AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "853657895",
"telephone_number": "928-246-2865",
"fax_number": "928-344-3965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEMINI PHYSICAL THERAPY AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2011-06-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "928-246-2865",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364448",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.