NPIMap

Organization Active NPI

Advanced Care Physical Therapy PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chino Valley, AZ
National Provider Identifier
1285769034
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANCED CARE PHYSICAL THERAPY PLLC
Practice address
411 W Rd 1 North
Ste a
Chino Valley, AZ 86323-0520
Phone
(928) 636-8521
Fax
(928) 636-8591
NPI assigned
Feb 22, 2007
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mrs. Jane Scimeca, PTNPI 1104874437
Title
Owner PT
Phone
(928) 636-8521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

411 W Rd 1 North
Ste a
Chino Valley, AZ 86323-0520

Mailing address

411 W Rd 1 North
Ste a
Chino Valley, AZ 86323-0520
Phone (928) 636-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000464 AZ Part B Supplier - Clinic/Group Practice 1153390281 Receives reassigned benefits from 3 practitioners
Practice locations: Chino Valley, AZ

National Provider Directory

National Provider Directory

Locations

246 N US Highway 89
Unit B
Chino Valley, AZ 86323
Phone (928) 636-8521

Practitioners & affiliated clinicians

Practitioners 12

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1285769034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W RD 1 NORTH",
            "address_2": "STE A",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863230520",
            "telephone_number": "928-636-8521",
            "fax_number": "928-636-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W RD 1 NORTH",
            "address_2": "STE A",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863230520",
            "telephone_number": "928-636-8521",
            "fax_number": "928-636-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "SCIMECA",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER PT",
        "authorized_official_telephone_number": "928-636-8521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.

Verify at the official NPI Registry.