Individual provider Active NPI

Troy David Huseby, PT

  • Orthopedic Physical Therapist
  • Peoria, AZ
National Provider Identifier
1386684058
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2948 Issued in AZ
Practice address
9745 W Happy Valley Rd
Peoria, AZ 85383
Phone
(623) 432-9965
Fax
(623) 572-0422
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2948 AZ Primary

Addresses

Primary practice location

9745 W Happy Valley Rd
Peoria, AZ 85383

Mailing address

15508 W Bell Rd
Suite 101 PMB 210
Surprise, AZ 85374
Phone (623) 432-9965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000011 AZ Practitioner - Physical Therapist in Private Practice 1658375167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15459 W Bell Rd
Suite 107
Surprise, AZ 85374-2475
Phone 62343299651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swing Orthopedic and Sports Physical Therapy, Inc. Physical Therapist CurrentSince Aug 15, 2006 Accepting new patients
Mountainside Fitness Acquisitions Past Accepting new patients

Locations

20250 N 75th Ave
Glendale, AZ 85308
Phone (480) 625-0228

9745 W Happy Valley Rd
Peoria, AZ 85383
Phone 62343299652

15459 W Bell Rd
Ste 107
Surprise, AZ 85374
Phone (623) 214-9661

15508 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (480) 340-2283

15455 W Bell Rd
Surprise, AZ 85374
Phone (602) 920-7808

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1386684058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD",
            "address_2": "SUITE 101 PMB 210",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-432-9965",
            "fax_number": "623-572-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 W HAPPY VALLEY RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383",
            "telephone_number": "623-432-9965",
            "fax_number": "623-572-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEBY",
        "first_name": "TROY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.