Organization Active NPI

N-Care Physical Therapy LLC

  • Physical Therapist
  • Tolleson, AZ
National Provider Identifier
1396102968
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5948 Issued in AZ
Legal business name
N-CARE PHYSICAL THERAPY LLC
Practice address
9550 W Van Buren St Ste 14a
Tolleson, AZ 85353-2828
Phone
(623) 322-4917
NPI assigned
Jan 27, 2016
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Mr. Tomas E Abraham, MPTNPI 1023119278
Title
President
Phone
(323) 261-6100

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 Therapist 225100000X 5948 AZ Primary

Addresses

Primary practice location

9550 W Van Buren St Ste 14a
Tolleson, AZ 85353-2828

Mailing address

3512 Carmona Ave
Los Angeles, CA 90016-5023
Phone (323) 261-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170111001431 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739460460 Receives reassigned benefits from 1 practitioner
Practice locations: Tolleson, AZ

National Provider Directory

National Provider Directory

Locations

9550 W Van Buren St
Ste 14
Tolleson, AZ 85353
Phone (623) 322-4917

9550 W Van Buren St
Ste 14A
Tolleson, AZ 85353
Phone (623) 322-4917

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": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1396102968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 CARMONA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165023",
            "telephone_number": "323-261-6100",
            "fax_number": "877-400-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 W VAN BUREN ST STE 14A",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532828",
            "telephone_number": "623-322-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N-CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-261-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.