Active NPI
Medcap Family Holdings, P.C.
- Physical Therapy Clinic/Center
- Buckeye, AZ
National Provider Identifier
1336298140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MEDCAP FAMILY HOLDINGS, P.C.
- Doing business as
- MedCap Rehab & Wellness Center
- Practice address
- 20508 W Daniel PL
Buckeye, AZ 85396-3649 - Phone
- (623) 866-3361
- NPI assigned
- Jan 9, 2007
- 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
- Mr. Joel Phillip Medrano, R.N., P.T.A.
- Title
- President
- Phone
- (623) 866-3361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
20508 W Daniel PL
Buckeye, AZ 85396-3649
Mailing address
1300 S Watson Rd
A114-203
Buckeye, AZ 85326-6264
Phone (623) 866-3361
Other names 1
- MedCap Rehab & Wellness Center
National Provider Directory
National Provider DirectoryLocations
1300 S Watson Rd
#A114203
Buckeye, AZ 85326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336298140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S WATSON RD",
"address_2": "A114-203",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853266264",
"telephone_number": "623-866-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20508 W DANIEL PL",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853963649",
"telephone_number": "623-866-3361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCAP FAMILY HOLDINGS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEDRANO",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-866-3361",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N., P.T.A."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedCap Rehab & Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buckeye, 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.