Health Centers of Arizona, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6795 Issued in AZ

Legal business name

HEALTH CENTERS OF ARIZONA, PLLC

Practice address

235 E. Warner Rd
B-104
Gilbert, AZ 85296-2972

Phone

(480) 633-3540

Fax

(480) 633-5605

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Brandon Robert Carroll

Title

Business Manager

Phone

(480) 633-3540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1376714253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E. WARNER RD",
            "address_2": "B-104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-633-3540",
            "fax_number": "480-633-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E. WARNER RD",
            "address_2": "B-104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-633-3540",
            "fax_number": "480-633-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CENTERS OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-633-3540"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gilbert, AZ
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• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.