Organization Active NPI

Work Physical Therapy PLC

Doing business as Diamondback Physcial Therapy

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1306081310
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WORK PHYSICAL THERAPY PLC
Doing business as
Diamondback Physcial Therapy
Practice address
323 S Gilbert Rd Ste 115
Gilbert, AZ 85296-1608
Phone
(480) 632-6667
Fax
(480) 632-6668
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Widd Wade Workman, DPTNPI 1740359132
Title
Owner
Phone
(480) 632-6667

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

323 S Gilbert Rd Ste 115
Gilbert, AZ 85296-1608

Mailing address

323 S Gilbert Rd Ste 115
Gilbert, AZ 85296-1608
Phone (480) 632-6667

Other names 1

  • Diamondback Physcial Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081224000259 AZ Part B Supplier - Clinic/Group Practice 7113089293 Receives reassigned benefits from 4 practitioners
Practice locations: Gilbert, AZ; Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296
Phone (480) 632-6667

8017 E Pecos Rd
Ste 106
Mesa, AZ 85212

4350 E Ray Rd
Bldg 1
Phoenix, AZ 85044
Phone (480) 704-5954

22050 E Queen Creek Rd
Queen Creek, AZ 85142
Phone (480) 632-6667

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1306081310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961608",
            "telephone_number": "480-632-6667",
            "fax_number": "480-632-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961608",
            "telephone_number": "480-632-6667",
            "fax_number": "480-632-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "WIDD",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-632-6667",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamondback Physcial Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.