Active NPI
Places You'LL Go Therapy LLC
- Occupational Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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, 2025
- 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
- Victoria Wicus, MOT, OTR/L, BCP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pygtherapy.com | ||
| CONNECT URL | pygtherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Phoenix, AZ
- NPI 1316335383
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1912310871
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.