Organization Active NPI

Cactus Physical Therapy Limited, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
National Provider Identifier
1336149723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
AZ #617 Issued in AZ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
19070617OtherAZI.C.A.
617OtherARAZ PT
AZ0088730OtherAZBCBS AZ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.