Active NPI
Cactus Physical Therapy Limited, Inc.
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
National Provider Identifier
1336149723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- AZ #617
- Legal business name
- CACTUS PHYSICAL THERAPY LIMITED, INC.
- Practice address
- 34155 N Scottsdale Rd
Scottsdale, AZ 85262-1221 - Phone
- (480) 488-7018
- Fax
- (623) 465-7653
- NPI assigned
- Jul 28, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard L. Painchaud, PH.D.
- Title
- V.P./Secretary & Statutory Agent
- Phone
- (623) 465-7653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | AZ #617 | AZ | Primary |
Addresses
Primary practice location
34155 N Scottsdale Rd
Scottsdale, AZ 85262-1221
Mailing address
PO Box 5914
Carefree, AZ 85377-5914
Phone (623) 465-7653
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19070617 | Other | AZ | I.C.A. |
| 617 | Other | AR | AZ PT |
| AZ0088730 | Other | AZ | BCBS AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336149723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5914",
"city": "CAREFREE",
"state": "AZ",
"postal_code": "853775914",
"telephone_number": "623-465-7653",
"fax_number": "623-465-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34155 N SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852621221",
"telephone_number": "480-488-7018",
"fax_number": "623-465-7653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CACTUS PHYSICAL THERAPY LIMITED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAINCHAUD",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "V.P./SECRETARY & STATUTORY AGENT",
"authorized_official_telephone_number": "623-465-7653",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "AZ #617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I.C.A.",
"identifier": "19070617",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ PT",
"identifier": "617",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0088730",
"state": "AZ"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.