Active NPI
Ian Hover, PT, MPT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1366445033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6688
- Practice address
- 8240 W. Cactus Road
Peoria, AZ 85381 - Phone
- (623) 878-9696
- Fax
- (623) 776-0668
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6688 | AZ | Primary |
Addresses
Primary practice location
8240 W. Cactus Road
Peoria, AZ 85381
Mailing address
8240 W. Cactus Rd.
Peoria, AZ 85381
Phone (623) 878-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926157 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8240 W Cactus Rd
Peoria, AZ 85381-5231
Phone (480) 306-6627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6688 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Oakeson Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Modern Sports Medicine LLC | Current | Accepting new patients |
Locations
5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969
8240 W Cactus Rd
Peoria, AZ 85381
Phone (623) 878-9696
10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Sun Lakes, AZ
- NPI 1285295089
Physical Therapist
-
- Physical Therapist
- Glendale, AZ
- NPI 1700812369
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Tucson, AZ
- NPI 1609662709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1366445033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8240 W. CACTUS RD.",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85381",
"telephone_number": "623-878-9696",
"fax_number": "623-776-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 W. CACTUS ROAD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85381",
"telephone_number": "623-878-9696",
"fax_number": "623-776-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVER",
"first_name": "IAN",
"name_prefix": "Mr.",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926157",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.