Individual provider Active NPI

Douglas Howard, P.T.

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1407956352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5407 Issued in AZ
Practice address
7707 W Deer Valley Rd
Suite 105
Peoria, AZ 85382-2101
Phone
(623) 376-9100
Fax
(623) 376-9141
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5407 AZ Primary

Addresses

Primary practice location

7707 W Deer Valley Rd
Suite 105
Peoria, AZ 85382-2101

Mailing address

1317 W Vermont Ave
Phoenix, AZ 85013-1959
Phone (602) 328-9327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000244 AZ Practitioner - Physical Therapist in Private Practice 1557395712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5407AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Jul 12, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Current Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Jul 12, 2022 Accepting new patients
Arizona Sports Physical Therapy LTD Physical Therapist Past Accepting new patients

Locations

19420 N 59th Ave
Ste H830
Glendale, AZ 85308
Phone (623) 302-9020

3850 W Happy Valley Rd
Ste 147
Glendale, AZ 85310
Phone (623) 322-8925

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

5110 N Dysart Rd
Ste 148
Litchfield Pk, AZ 85340
Phone (623) 547-4739

7707 W Deer Valley Rd
Ste 105
Peoria, AZ 85382
Phone (623) 376-9100

7707 W Deer Valley Rd
Ste 100
Peoria, AZ 85382
Phone (623) 376-9100

15410 S Mountain Pkwy
Phoenix, AZ 85044
Phone (480) 329-8087

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407956352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W VERMONT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131959",
            "telephone_number": "602-328-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 W DEER VALLEY RD",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822101",
            "telephone_number": "623-376-9100",
            "fax_number": "623-376-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DOUGLAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.