NPIMap

Organization Active NPI

On Trak Physical Therapy PLLC

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1326757279
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ON TRAK PHYSICAL THERAPY PLLC
Practice address
2775 S 8TH Ave
Yuma, AZ 85364-7110
Phone
(928) 304-6651
NPI assigned
Nov 18, 2022
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Ashley Michelle Van Why, PT, DPTNPI 1154030005
Title
Owner
Phone
(928) 304-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2775 S 8TH Ave
Yuma, AZ 85364-7110

Mailing address

PO Box 5896
Yuma, AZ 85366-2493
Phone (928) 304-6651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217000330 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355713462 Receives reassigned benefits from 5 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

11463 S Foothills Blvd
Ste C
Yuma, AZ 85367
Phone (602) 885-7228

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1326757279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5896",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662493",
            "telephone_number": "928-304-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S 8TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647110",
            "telephone_number": "928-304-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TRAK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "VAN WHY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-304-6651",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.