Active NPI
Spooner Physical Therapy & Hand Rehab PC
- Occupational Medicine Clinic/Center
- Phoenix, AZ
National Provider Identifier
1255693289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- SPOONER PHYSICAL THERAPY & HAND REHAB PC
- Practice address
- 16515 S 40TH St
Ste 119 B
Phoenix, AZ 85048-0558 - Phone
- (602) 224-9891
- Fax
- (602) 224-9808
- NPI assigned
- Jun 14, 2012
- Organization subpart
- Yes
- Parent organization
- SPOONER PHYSICAL THERAPY & HAND REHAB PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy A Spooner, PT, FAFS
- Title
- President/Ceo
- Phone
- (480) 860-4298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
16515 S 40TH St
Ste 119 B
Phoenix, AZ 85048-0558
Mailing address
9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260-6710
Phone (480) 860-4298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000811 | AZ | Part B Supplier - Clinic/Group Practice | 3476440447 |
Receives reassigned benefits from 215 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Peoria, AZ; Scottsdale, AZ; Surprise, AZ; Glendale, AZ; Mesa, AZ; Anthem, AZ; Avondale, AZ… |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1760944433
O20040303000811
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1104478320
O20040303000811
-
- Physical Therapy Clinic/Center
- Surprise, AZ
- NPI 1114424868
O20040303000811
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1184730095
O20040303000811
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1821244682
O20040303000811
National Provider Directory
National Provider Directory- Part of
- Spooner Physical Therap
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1255693289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE",
"address_2": "STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606710",
"telephone_number": "480-860-4298",
"fax_number": "480-860-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16515 S 40TH ST",
"address_2": "STE 119 B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480558",
"telephone_number": "602-224-9891",
"fax_number": "602-224-9808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPOONER PHYSICAL THERAPY & HAND REHAB PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPOONER PHYSICAL THERAPY & HAND REHAB PC",
"enumeration_date": "2012-06-14",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "SPOONER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "480-860-4298",
"authorized_official_credential": "PT, FAFS"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Jessica Madeline Spontak, PA-C
- Spooner Ahwatukee Hand Therapy, PC
- Spooner Arcadia Hand Therapy, P.C.
- Spooner North West Hand Therapy, P.C.
- Spooner Phoenix Physical Therapy, Inc.
- Spooner Physical Therapy & Hand Rehab, PC
- Spooner Physical Therapy & Hand Rehab, PC
- Spooner Physical Therapy & Hand Rehab, PC
- Spooner Physical Therapy & Hand Rehab, PC
- Spooner Physical Therapy & Hand Rehab, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.