Active NPI
Ricardo Chacon, PTA
- Physical Therapist
- Surprise, AZ
National Provider Identifier
1386446367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTA-014424
- Practice address
- 13060 W Bell Rd
Surprise, AZ 85378-1200 - Phone
- (623) 499-9100
- Fax
- (623) 977-1208
- NPI assigned
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- No
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 | PTA-014424 | AZ | Primary |
Addresses
Primary practice location
13060 W Bell Rd
Surprise, AZ 85378-1200
Mailing address
1949 E Morrow Dr
Phoenix, AZ 85024-2432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-014424 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1386446367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 E MORROW DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850242432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13060 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853781200",
"telephone_number": "623-499-9100",
"fax_number": "623-977-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "RICARDO",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "PTA-014424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.