Active NPI
Keith James Pritchette
- Orthopedic Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6265
- Practice address
- 4730 E Warner Rd Ste 10
Phoenix, AZ 85044-3320 - Phone
- (480) 785-5738
- Fax
- (480) 785-5761
- NPI assigned
- Jan 15, 2007
- Last updated
- Sep 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 6265 | AZ | |
| Orthopedic Physical Therapist | 2251X0800X | 6265 | AZ | Primary |
Addresses
Primary practice location
4730 E Warner Rd Ste 10
Phoenix, AZ 85044-3320
Mailing address
4730 E Warner Rd
Ste 5
Phoenix, AZ 85044-3320
Phone (480) 785-5738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4730 E Warner Rd
Suite 5
Phoenix, AZ 85044-3320
Phone (480) 785-5738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6265 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritchette Physical Therapy | Current | Accepting new patients | |
| Rejuvenation Wellness Center PLLC | Past | Accepting new patients |
Locations
1331 E Chandler Blvd
Ste 102
Phoenix, AZ 85048
Phone (480) 371-1555
1331 E Chandler Blvd
Ste 102103
Phoenix, AZ 85048
Phone (480) 501-9475
4730 E Warner Rd
Ste 10
Phoenix, AZ 85044
Phone (480) 785-4959
4730 E Warner Rd
Ste 5
Phoenix, AZ 85044
Phone (480) 785-5415
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rehab Plus Ahwatukee
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1912144072
-
- Chiropractor
- Phoenix, AZ
- NPI 1437316197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1306997580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 E WARNER RD",
"address_2": "STE 5",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850443320",
"telephone_number": "480-785-5738",
"fax_number": "480-785-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 E WARNER RD STE 10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850443320",
"telephone_number": "480-785-5738",
"fax_number": "480-785-5761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETTE",
"first_name": "KEITH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "6265",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "6265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Christine Ak Pritchard, MSW, LCSW
- David Jon Pritchard, DC
- Jennifer Pritchard, D.C.
- Traci Pritchard, M.D.
- Pritchette Physical Therapy (Rehab Plus Ahwatukee)
- Margarette Privat
- Private Health Management Medical Group, PLLC
- Private Healthcare Facilities
- Private Suite Home Care Agency, LLC
- Privia Medical Group Arizona, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.