Active NPI
Spooner Physical Therapy & Hand Rehab PC
- Occupational Medicine Clinic/Center
- Phoenix, AZ
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
- Last updated
- Apr 2, 2013
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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.
-
dba Spooner McCormick Ranch
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1760944433
O20040303000811
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1104478320
O20040303000811
-
dba Spooner Surprise
- 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 Therapy H
Practitioners & 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
- Scottsdale, AZ
- NPI 1528011053
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 Phoenix Physical Therapy)
- Spooner Physical Therapy & Hand Rehab, PC (Spooner Sunnyslope)
- Spooner Physical Therapy & Hand Rehab, PC (Spooner Desert Ridge)
- Spooner Physical Therapy & Hand Rehab, PC (Spooner South Mountain)
- Spooner Physical Therapy & Hand Rehab, PC (DBA: Spooner Sports Institute)
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.