Active NPI
Teri Michael, PT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1417393620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1083
- Practice address
- 4720 E Cotton Gin Loop Ste 140
Phoenix, AZ 85040-8850 - Phone
- (866) 308-2700
- Fax
- (866) 438-0350
- NPI assigned
- May 14, 2013
- Last updated
- May 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1083 | NV | Primary |
Addresses
Primary practice location
4720 E Cotton Gin Loop Ste 140
Phoenix, AZ 85040-8850
Mailing address
4720 E Cotton Gin Loop Ste 140
Phoenix, AZ 85040-8850
Phone (866) 308-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1417393620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 E COTTON GIN LOOP STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850408850",
"telephone_number": "866-308-2700",
"fax_number": "866-438-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 E COTTON GIN LOOP STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850408850",
"telephone_number": "866-308-2700",
"fax_number": "866-438-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "TERI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1083",
"primary": true
}
],
"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 May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.