NPIMap

Organization Active NPI

Western Spinal Center PLLC

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1407917370
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7011 Issued in AZ
Legal business name
WESTERN SPINAL CENTER PLLC
Practice address
8751 N 51St Ave
Suite 124
Glendale, AZ 85302
Phone
(623) 334-9689
Fax
(623) 334-9687
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Tim D Sipe, DC
Title
Owner Member
Phone
(623) 334-9689

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3483 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7011 AZ Primary

Addresses

Primary practice location

8751 N 51St Ave
Suite 124
Glendale, AZ 85302

Mailing address

8751 N 51St Ave
Suite 124
Glendale, AZ 85302-4945
Phone (623) 334-9689

Other identifiers 1

IdentifierTypeStateIssuer
0421610OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8751 N 51st Ave
Ste 124
Glendale, AZ 85302
Phone (623) 334-9689

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1407917370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 N 51ST AVE",
            "address_2": "SUITE 124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024945",
            "telephone_number": "623-334-9689",
            "fax_number": "623-334-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 N 51ST AVE",
            "address_2": "SUITE 124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85302",
            "telephone_number": "623-334-9689",
            "fax_number": "623-334-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SPINAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "623-334-9689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3483",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0421610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.