Individual provider Active NPI

Mark A Rhodey, M.S.P.T.

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1417048364
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5777 Issued in AZ
Practice address
1847 W Heatherbrae Dr
Suite B
Phoenix, AZ 85015-4764
Phone
(602) 285-0949
Fax
(602) 285-0052
NPI assigned
Sep 27, 2006
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5777 AZ Primary
Sports Physical Therapist 2251S0007X
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

1847 W Heatherbrae Dr
Suite B
Phoenix, AZ 85015-4764

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (480) 860-4298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000757 AZ Practitioner - Physical Therapist in Private Practice 9335174549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9097 E Desert Cove Ave
Suite 110
Scottsdale, AZ 85260-6276
Phone (480) 924-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5777AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 12, 2009 Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Sep 1, 2018 Accepting new patients
Spooner Phoenix Physical Therapy, Inc. Physical Therapist CurrentSince Jan 12, 2009 Accepting new patients
KC's Physical Therapy LLC Orthopedic Past Accepting new patients
Pain Management Clinic Past Accepting new patients

Locations

2085 S Cooper Rd
Ste 1
Chandler, AZ 85286
Phone (480) 351-8721

1626 N Litchfield Rd
Ste 310
Goodyear, AZ 85395
Phone (623) 680-0036

5215 W Baseline Rd
Ste 101
Laveen, AZ 85339
Phone (623) 219-4600

26900 N Lake Pleasant Pkwy
Ste 120
Peoria, AZ 85383
Phone (623) 400-9100

15255 N 40th St
Ste 123
Phoenix, AZ 85032
Phone (480) 502-5361

1847 W Heatherbrae Dr
Ste B
Phoenix, AZ 85015
Phone (602) 285-0949

20830 N Tatum Blvd
Ste 170
Phoenix, AZ 85050
Phone (480) 502-5510

303 E Baseline Rd
Ste 110
Phoenix, AZ 85042
Phone (602) 243-1476

3540 E Baseline Rd
Ste 103
Phoenix, AZ 85042
Phone (602) 243-1476

5040 N 15th Ave
Ste 401
Phoenix, AZ 85015
Phone (602) 274-9811

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

7555 E Osborn Rd
Ste 200
Scottsdale, AZ 85251
Phone (480) 436-5151

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1417048364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 W HEATHERBRAE DR",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154764",
            "telephone_number": "602-285-0949",
            "fax_number": "602-285-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODEY",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5777",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.