Active NPI
Dash Physical Therapy LLC
- Physical Therapist
- Queen Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12454PT
- Legal business name
- DASH PHYSICAL THERAPY LLC
- Practice address
- 18530 E San Tan Blvd Ste 109
Queen Creek, AZ 85142-2201 - Phone
- (480) 677-8202
- Fax
- (480) 677-8203
- NPI assigned
- May 3, 2018
- Last updated
- Jun 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Heywood, DPT
- Title
- Therapist
- Phone
- (480) 677-8202
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12454PT | AZ | Primary |
Addresses
Primary practice location
18530 E San Tan Blvd Ste 109
Queen Creek, AZ 85142-2201
Mailing address
18530 E San Tan Blvd Ste 109
Queen Creek, AZ 85142-2201
Phone (480) 677-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18530 E San Tan Blvd
Queen Creek, AZ 85142
18530 E San Tan Blvd
Ste 109
Queen Creek, AZ 85142
Phone (480) 677-8202
18540 E San Tan Blvd
Ste 101
Queen Creek, AZ 85142
Phone (480) 677-8202
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Physical Therapist
- Queen Creek, AZ
- NPI 1790239226
-
- Physical Therapist
- Queen Creek, AZ
- NPI 1578372777
-
- Physical Therapist
- Queen Creek, AZ
- NPI 1073243424
-
- Physical Therapist
- Queen Creek, AZ
- NPI 1093528846
-
- Physical Therapy Assistant
- Queen Creek, AZ
- NPI 1073150090
-
- Physical Therapy Assistant
- Queen Creek, AZ
- NPI 1508528639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1407345523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18530 E SAN TAN BLVD STE 109",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851422201",
"telephone_number": "480-677-8202",
"fax_number": "480-677-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18530 E SAN TAN BLVD STE 109",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851422201",
"telephone_number": "480-677-8202",
"fax_number": "480-677-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DASH PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-03",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A",
"authorized_official_last_name": "HEYWOOD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "480-677-8202",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12454PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.