Active NPI
Lonny Nenadovich, DPT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1245357458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5865
- Practice address
- 4001 E Sunrise Dr
Tucson, AZ 85718-4324 - Phone
- (520) 382-8446
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- 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 | 5865 | AZ | Primary |
Addresses
Primary practice location
4001 E Sunrise Dr
Tucson, AZ 85718-4324
Mailing address
PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5865 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| Ati Holdings of Arizona, LLC | Physical Therapist | Past | Accepting new patients |
| Polaris Physical Therapy P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Orthopedic Physical Therapist
- Tucson, AZ
- NPI 1184628562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1245357458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31630",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511630",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 E SUNRISE DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857184324",
"telephone_number": "520-382-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NENADOVICH",
"first_name": "LONNY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.