Organization Active NPI

Places You'LL Go Therapy LLC

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1386131837
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PLACES YOU'LL GO THERAPY LLC
Practice address
3241 E Shea Blvd
Ste 1-503
Phoenix, AZ 85028-3365
Phone
(480) 910-2772
Fax
(480) 718-7344
NPI assigned
Apr 19, 2018
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Victoria Wicus, MOT, OTR/L, BCPNPI 1316335383
Title
Co-Owner
Phone
(480) 910-0372

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

3241 E Shea Blvd
Ste 1-503
Phoenix, AZ 85028-3365

Mailing address

3241 E Shea Blvd Ste 1-503
Phoenix, AZ 85028-3335
Phone (480) 910-0372

Other practice location 1

6475 Wall St Ste 110
Colorado Springs, CO 80918-8341
Phone (480) 910-2772

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL pygtherapy.com
CONNECT URL pygtherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231229000268 AZ Part B Supplier - Clinic/Group Practice 4385094606 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20260528004524 CO Part B Supplier - Clinic/Group Practice 4385094606 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

3241 E Shea Blvd
Ste 1503
Phoenix, AZ 85028
Phone (480) 910-0372

6475 Wall St
Ste 110
Colorado Springs, CO 80918
Phone (480) 910-2772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1386131837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 E SHEA BLVD STE 1-503",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283335",
            "telephone_number": "480-910-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 E SHEA BLVD",
            "address_2": "STE 1-503",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283365",
            "telephone_number": "480-910-2772",
            "fax_number": "480-718-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6475 Wall St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809188341",
            "country_code": "US",
            "telephone_number": "480-910-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLACES YOU'LL GO THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "WICUS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-910-0372",
        "authorized_official_credential": "MOT, OTR/L, BCP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pygtherapy.com",
            "affiliation": "N",
            "address_1": "3241 E Shea Blvd",
            "address_2": "Ste 1-503",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850283365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pygtherapy.com",
            "affiliation": "N",
            "address_1": "6475 Wall St Ste 110",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809188341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.