NPIMap

Organization Active NPI

Roc Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
National Provider Identifier
1407360183
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ROC PHYSICAL THERAPY, PLLC
Practice address
5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490
Phone
(480) 272-7797
NPI assigned
Nov 16, 2017
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Larry Randel Brimhall, DPTNPI 1760735120
Title
Physical Therapist
Phone
(602) 820-4360

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 Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490

Mailing address

5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180118001286 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204195316 Receives reassigned benefits from 18 practitioners
Practice locations: Gilbert, AZ; Tempe, AZ; San Tan Valley, AZ; Peoria, AZ; Mesa, AZ

National Provider Directory

National Provider Directory

Locations

5656 S Power Rd
Ste 139
Gilbert, AZ 85295
Phone (480) 272-7797

2036 N Gilbert Rd
Ste 107
Mesa, AZ 85203

2036 N Gilbert Rd
Ste 7
Mesa, AZ 85203
Phone (480) 272-7797

13350 N 94th Dr
Ste C103
Peoria, AZ 85381
Phone (480) 272-7797

1735 W Hunt Hwy
#C101
San Tan Valley, AZ 85143
Phone (480) 272-7797

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1407360183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "480-272-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROC PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RANDEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-820-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.