Active NPI
Larry Joseph Hains II, PTA
- Physical Therapy Assistant
- Scottsdale, AZ
National Provider Identifier
1326638404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-014327
- Practice address
- 2620 N 68TH St
Scottsdale, AZ 85257-1299 - Phone
- (480) 946-6571
- NPI assigned
- Jan 22, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2159704 | TX | |
| Physical Therapy Assistant | 225200000X | PTA-014327 | AZ | Primary |
Addresses
Primary practice location
2620 N 68TH St
Scottsdale, AZ 85257-1299
Mailing address
2620 N 68TH St
Scottsdale, AZ 85257-1299
Phone (480) 946-6571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-014327 | AZ | MD | Physical Therapy Assistant |
| 2159704 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1326638404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 N 68TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852571299",
"telephone_number": "480-946-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 N 68TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852571299",
"telephone_number": "480-946-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINS",
"first_name": "LARRY",
"middle_name": "JOSEPH",
"name_suffix": "II",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-22",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2159704",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "PTA-014327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.