Athletic Institute of Medicine LTD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ATHLETIC INSTITUTE OF MEDICINE LTD

Practice address

9475 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4576

Phone

(480) 778-1400

Fax

(480) 778-0400

NPI assigned

Feb 9, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J Wall, M.D.NPI 1255366290

Title

President

Phone

(480) 778-1400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas J Wall, MD

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1255366290

  Single Specialty

  Medicare reassignment NPD Authorized official
• Vincent Prakash Peries Jr., DPT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1720296346
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326189564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-778-1400",
            "fax_number": "480-778-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-778-1400",
            "fax_number": "480-778-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9393 N 90th St # 102-164",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585040",
            "country_code": "US",
            "telephone_number": "480-778-1400",
            "fax_number": "480-778-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHLETIC INSTITUTE OF MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-778-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janhavi Athale, M.D.
• Rahul S Athalye, MD
• Athena Life Care Planning PLLC
• Athena Medical Consultants
• Gina Linn Athetis, FNP-C
• Athletico LTD (Athletico Physical Therapy)
• Melinda Umali Atienza, DO
• Chellsey Atkerson, LAC
• Aubrey Atkins, NP
• Heather K Atkins, MASSAGE THERAPIST

• Sports Medicine (Orthopaedic Surgery) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.