NPIMap

Organization Active NPI

Camelback Sports Therapy LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1255426318
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAMELBACK SPORTS THERAPY LLC
Practice address
4800 N 44TH St
Phoenix, AZ 85018-3800
Phone
(602) 808-8989
Fax
(602) 808-9494
NPI assigned
Oct 4, 2006
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Ms. Natalie Jane Semon, PTNPI 1427143569
Title
Owner
Phone
(602) 808-8989

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

Addresses

Primary practice location

4800 N 44TH St
Phoenix, AZ 85018-3800

Mailing address

PO Box 44767
Phoenix, AZ 85064-4767
Phone (602) 808-8989

Other practice location 1

100 E Camelback Rd Ste 120
Phoenix, AZ 85012-1061
Phone (602) 808-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000716 AZ Part B Supplier - Clinic/Group Practice 8426953852 Receives reassigned benefits from 18 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1255426318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44767",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850644767",
            "telephone_number": "602-808-8989",
            "fax_number": "602-808-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183800",
            "telephone_number": "602-808-8989",
            "fax_number": "602-808-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Camelback Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121061",
            "country_code": "US",
            "telephone_number": "602-808-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMELBACK SPORTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "SEMON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-808-8989",
        "authorized_official_name_prefix": "Ms.",
        "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 11, 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.

Verify at the official NPI Registry.