Orthomed LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOMED LLC

Doing business as

Proactive Physical Therapy

Practice address

10550 N la Canada Dr
Ste 160
Oro Valley, AZ 85737-7130

Phone

(520) 547-2476

Fax

(520) 547-2480

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Serena Lewis

Title

Administrator

Phone

(520) 829-7712

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Proactive Physical Therapy Doing business as

Tax ID family

Orthomed LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthomed LLC

  dba Proactive Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1174670640
  NPD tax ID

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1275680746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284207",
            "telephone_number": "520-829-7712",
            "fax_number": "520-314-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 N LA CANADA DR",
            "address_2": "STE 160",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377130",
            "telephone_number": "520-547-2476",
            "fax_number": "520-547-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-829-7712"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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"
        }
    ]
}

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• Oro Valley Surgical Suites LLC
• Jennifer H Otto, N.P.
• Patrick Ouzts, M.D.
• Brittany Overton, FNP
• Skye Gloria Padilla, M.S. CCC-SLP
• James F Pager, DMD

• Physical Therapist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.