Individual provider Active NPI

Keith James Pritchette

  • Orthopedic Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1306997580
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6265 Issued in AZ
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040504000705 AZ Practitioner - Physical Therapist in Private Practice 7618965153 Reassigns benefits to 1 organization

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
Pritchette Physical TherapyGroup PAC ID 5193882124, 5 clinicians

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

LicenseStateTypeSpecialty
6265AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchette Physical Therapy CurrentSince Mar 19, 2009 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.

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

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.

Verify at the official NPI Registry.