NPIMap

Organization Active NPI

Saguaro Therapy PLC

  • Pediatric Physical Therapist
  • Yuma, AZ
National Provider Identifier
1275692089
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
5016 Issued in AZ
Legal business name
SAGUARO THERAPY PLC
Practice address
1695 W 24TH St
Yuma, AZ 85364-6205
Phone
(928) 210-2339
Fax
(928) 819-7019
NPI assigned
Dec 7, 2006
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Ms. Meg Wagner Rodney, P.T.NPI 1558532192
Title
Physical Therapist
Phone
(928) 210-2413

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 5016 AZ Primary
Speech-Language Pathologist 235Z00000X SLP0892 AZ

Addresses

Primary practice location

1695 W 24TH St
Yuma, AZ 85364-6205

Mailing address

1224 S 41St Dr
Yuma, AZ 85364-4075
Phone (928) 210-2413

Other identifiers 4

IdentifierTypeStateIssuer
576085MedicaidAZ
465113MedicaidAZ
AZ0299630OtherAZBCBS
515380MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3802 W 16th St
Yuma, AZ 85364
Phone (928) 210-2339

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1275692089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S 41ST DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644075",
            "telephone_number": "928-210-2413",
            "fax_number": "928-819-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646205",
            "telephone_number": "928-210-2339",
            "fax_number": "928-819-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "RODNEY",
        "authorized_official_first_name": "MEG",
        "authorized_official_middle_name": "WAGNER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-210-2413",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "5016",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576085",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465113",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0299630",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515380",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.