NPIMap

Organization Active NPI

Desert Palms Physical Therapy - Oro Valley, LLC

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1376954115
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DESERT PALMS PHYSICAL THERAPY - ORO VALLEY, LLC
Practice address
12142 N Rancho Vistoso Blvd
Suite B-150
Oro Valley, AZ 85755-1842
Phone
(520) 338-2728
Fax
(520) 742-4907
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mr. Bruce A Franke Jr., PT, MSC, OCS, CMPT,NPI 1518990407
Title
Owner
Phone
(520) 531-0305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X AZ Primary

Addresses

Primary practice location

12142 N Rancho Vistoso Blvd
Suite B-150
Oro Valley, AZ 85755-1842

Mailing address

7400 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 531-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805000379 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496972168 Receives reassigned benefits from 8 practitioners
Practice locations: Oro Valley, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1376954115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-531-0305",
            "fax_number": "520-742-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 N RANCHO VISTOSO BLVD",
            "address_2": "SUITE B-150",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551842",
            "telephone_number": "520-338-2728",
            "fax_number": "520-742-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PALMS PHYSICAL THERAPY - ORO VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "FRANKE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-531-0305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, MSC, OCS, CMPT,"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.