Organization Active NPI

One Accord PT Phoenix PLLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1417393992
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ONE ACCORD PT PHOENIX PLLC
Practice address
2020 N Central Ave
Suite L100
Phoenix, AZ 85004-4501
Phone
(623) 455-5185
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Calvin Wayne Noonan, PT,DPT,ATC
Title
Owner/Therapist
Phone
(623) 455-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2020 N Central Ave
Suite L100
Phoenix, AZ 85004-4501

Mailing address

2020 N Central Ave
Suite L100
Phoenix, AZ 85004-4501
Phone (623) 455-5185

National Provider Directory

National Provider Directory

Locations

2020 N Central Ave
Ste L100
Phoenix, AZ 85004
Phone (602) 253-4120

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1417393992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CENTRAL AVE",
            "address_2": "SUITE L100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044501",
            "telephone_number": "623-455-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CENTRAL AVE",
            "address_2": "SUITE L100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044501",
            "telephone_number": "623-455-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE ACCORD PT PHOENIX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "623-455-5185",
        "authorized_official_credential": "PT,DPT,ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 10, 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.

Verify at the official NPI Registry.