Fenix Physical Therapy and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10935 Issued in AZ

Legal business name

FENIX PHYSICAL THERAPY AND PERFORMANCE

Practice address

4365 E Pecos Rd Ste 136
Gilbert, AZ 85295-8053

Phone

(480) 788-0399

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Austin Fair

Title

Owner

Phone

(480) 788-0399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1396255337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 E GERMANN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129345",
            "telephone_number": "480-788-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 136",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-788-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-788-0399"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence F Feld, M.D.
• Christina L Felix
• Alisha Felten
• Earl L Feng, MD
• Charles Fenigstein
• Philip Fenn
• Mariola Ferenc, LCSW
• Ferguson Podiatry PLLC
• Rebecca Ferguson, RN
• Anna Ferko, LMSW

• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.