NPIMap

Organization Active NPI

Ideal Physical Therapy

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1295139202
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7992 Issued in AZ
Legal business name
IDEAL PHYSICAL THERAPY
Practice address
2005 W Happy Valley Rd
170
Phoenix, AZ 85085-2893
Phone
(623) 780-3555
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Barb Davis
Title
Billing Manager
Phone
(602) 697-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7992 AZ Primary

Addresses

Primary practice location

2005 W Happy Valley Rd
170
Phoenix, AZ 85085-2893

Mailing address

2005 W Happy Valley Rd Ste 170
Phoenix, AZ 85085-2898
Phone (623) 780-3555

National Provider Directory

National Provider Directory
Tax ID family
Ideal Physical Therapy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1295139202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W HAPPY VALLEY RD STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852898",
            "telephone_number": "623-780-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W HAPPY VALLEY RD",
            "address_2": "170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852893",
            "telephone_number": "623-780-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "602-697-3488"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "7992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.