Organization Active NPI

Spine & Orthopaedic Physical Therapy Center, LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1407030497
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPINE & ORTHOPAEDIC PHYSICAL THERAPY CENTER, LLC
Practice address
16601 N 40TH St
Suite 229
Phoenix, AZ 85032-3345
Phone
(602) 540-8708
Fax
(602) 643-0038
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Susan B Wyatt
Title
Owner
Phone
(602) 540-8708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

16601 N 40TH St
Suite 229
Phoenix, AZ 85032-3345

Mailing address

16601 N 40TH St
Suite 229
Phoenix, AZ 85032-3345
Phone (602) 540-8708

National Provider Directory

National Provider Directory

Locations

16601 N 40th St
Ste 229
Phoenix, AZ 85032
Phone (480) 695-3064

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1407030497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 229",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-540-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 229",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-540-8708",
            "fax_number": "602-643-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & ORTHOPAEDIC PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-540-8708"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 7, 2009; 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.