NPIMap

Organization Active NPI

Orthomed, LLC

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1265664312
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOMED, LLC
Practice address
8770 N. Thornydale Rd
Suite 100
Tucson, AZ 85742
Phone
(520) 742-7107
Fax
(520) 742-9010
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
John Woolf
Title
Owner
Phone
(520) 321-0204

Specialties & licenses 1

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

Addresses

Primary practice location

8770 N. Thornydale Rd
Suite 100
Tucson, AZ 85742

Mailing address

P.O. Box 64207
Tucson, AZ 85728
Phone (480) 706-1161

Other identifiers 1

IdentifierTypeStateIssuer
825036MedicaidAZ

Other names 1

  • Proactive Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1265664312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 64207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85728",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 N. THORNYDALE RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85742",
            "telephone_number": "520-742-7107",
            "fax_number": "520-742-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-321-0204"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.