Individual provider Active NPI

Eva Karin Orso, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1316969603
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6608 Issued in AZ
Practice address
3230 E Baseline Rd
Suite 101
Phoenix, AZ 85042-7133
Phone
(602) 438-9773
Fax
(602) 438-9776
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6608 AZ Primary

Addresses

Primary practice location

3230 E Baseline Rd
Suite 101
Phoenix, AZ 85042-7133

Mailing address

1566 E Azalea Dr
Gilbert, AZ 85298-6831
Phone (602) 438-9773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000425 AZ Practitioner - Physical Therapist in Private Practice 4587628219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Mountain Physical Therapy LLCGroup PAC ID 9032332093, 2 clinicians

Practice addresses (Care Compare)

3230 E Baseline Rd
Suite 101
Phoenix, AZ 85042-7133
Phone (602) 438-9773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6608AZMDPhysical Therapist
27957CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2013 Accepting new patients

Locations

3230 E Baseline Rd
Ste 101
Phoenix, AZ 85042
Phone (602) 438-9773

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1316969603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 E AZALEA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852986831",
            "telephone_number": "602-438-9773",
            "fax_number": "602-438-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E BASELINE RD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427133",
            "telephone_number": "602-438-9773",
            "fax_number": "602-438-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSO",
        "first_name": "EVA",
        "middle_name": "KARIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6608",
            "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 Mar 26, 2013; 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.