NPIMap

Organization Active NPI

Sedona Physical Therapy, LLC

Doing business as Lebec Physical Therapy

  • Physical Therapy Clinic/Center
  • Sedona, AZ
National Provider Identifier
1407407513
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SEDONA PHYSICAL THERAPY, LLC
Doing business as
Lebec Physical Therapy
Practice address
55 Southwest Dr
Sedona, AZ 86336-3723
Phone
(928) 282-5050
NPI assigned
Sep 20, 2019
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Carol Schafer, PTNPI 1265885933
Title
Member
Phone
(907) 617-1917

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

55 Southwest Dr
Sedona, AZ 86336-3723

Mailing address

55 Southwest Dr
Sedona, AZ 86336-3723
Phone (928) 282-5050

Other names 1

  • Lebec Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219000406 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234563529 Receives reassigned benefits from 5 practitioners
Practice locations: Sedona, AZ

National Provider Directory

National Provider Directory

Locations

100 Posse Ground Rd
Sedona, AZ 86336
Phone (928) 282-5050

55 Southwest Dr
Sedona, AZ 86336
Phone (928) 282-5050

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1407407513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SOUTHWEST DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863363723",
            "telephone_number": "928-282-5050",
            "fax_number": "928-282-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SOUTHWEST DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863363723",
            "telephone_number": "928-282-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-617-1917",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebec Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lebec Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.