Michael Bond, D.P.T.
Individual provider Active NPI Specialist · Sacaton, AZ
NPI 1407166226 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1407166226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 9087 (AZ)
- Practice address
- 483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1200
- Fax
- (602) 528-1255
- NPI assigned
- Oct 14, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101112000906 | TX | Practitioner - Physical Therapist in Private Practice | 8325233588 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9087 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care Corporation | Current |
Accepting new patients | |
| Gila River Health Care | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9087 | AZ | Yes |
Addresses
Primary practice location
483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038
Mailing address
P.O. Box 38
Sacaton, AZ 85147-0038
Phone (602) 528-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | AZ | MEDICARE PENDING |
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.