NPIMap

Organization Active NPI

Harvest Physical Therapy, LLC

  • Physical Therapist
  • Casa Grande, AZ
National Provider Identifier
1295959674
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5696 Issued in AZ
Legal business name
HARVEST PHYSICAL THERAPY, LLC
Practice address
580 N Camino Mercado Ste 13
Casa Grande, AZ 85222-5757
Phone
(520) 836-8621
Fax
(520) 836-7987
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Sean O Flannagan, PTNPI 1194806810
Title
Physical Therapist Owner
Phone
(520) 836-8621

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5696 AZ Primary

Addresses

Primary practice location

580 N Camino Mercado Ste 13
Casa Grande, AZ 85222-5757

Mailing address

PO Box 12264
Casa Grande, AZ 85230-0580
Phone (520) 836-8621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001051 AZ Part B Supplier - Clinic/Group Practice 3173511375 Receives reassigned benefits from 24 practitioners
Practice locations: Casa Grande, AZ; Gilbert, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1377 E Florence Blvd
Ste 151-L5
Casa Grande, AZ 85122
Phone (520) 836-8621

1377 E Florence Blvd
Casa Grande, AZ 85122

580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621

580 N Camino Mercado
Ste 13
Casa Grande, AZ 85122
Phone (520) 836-8621

1856 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 836-8621

225 E Germann Rd
Ste 250
Gilbert, AZ 85297

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1295959674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12264",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852300580",
            "telephone_number": "520-836-8621",
            "fax_number": "520-836-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 13",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225757",
            "telephone_number": "520-836-8621",
            "fax_number": "520-836-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FLANNAGAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "520-836-8621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.