Organization Active NPI

Arizona Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Nogales, AZ
National Provider Identifier
1326316738
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1899 Issued in AZ
Legal business name
ARIZONA PHYSICAL THERAPY, PC
Practice address
1815 N Mastick Way
Suite 2
Nogales, AZ 85621-1046
Phone
(520) 889-1622
Fax
(520) 889-1618
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mr. Robert L. Androff, PT
Title
President/Owner
Phone
(520) 889-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1899 AZ Primary

Addresses

Primary practice location

1815 N Mastick Way
Suite 2
Nogales, AZ 85621-1046

Mailing address

1825 W Calle Tranquila
Tucson, AZ 85745-2205
Phone (520) 889-1622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000159 AZ Part B Supplier - Clinic/Group Practice 3678574845 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nogales, AZ; Tucson, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arizona Physical Therapy PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1326316738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W CALLE TRANQUILA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452205",
            "telephone_number": "520-889-1622",
            "fax_number": "520-889-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 N MASTICK WAY",
            "address_2": "SUITE 2",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211046",
            "telephone_number": "520-889-1622",
            "fax_number": "520-889-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "ANDROFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "520-889-1622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.