Silver Saguaro LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SILVER SAGUARO LLC

Practice address

812 Valley St
Prescott, AZ 86305-1826

Phone

(469) 915-4211

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Berry

Title

Manager

Phone

(469) 915-4211

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Lee Bean, MPT

  • Physical Therapist
  • Prescott, AZ
  • NPI 1588805907
  NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1417710542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 EL DORADO DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036526",
            "telephone_number": "469-915-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 VALLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051826",
            "telephone_number": "469-915-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SAGUARO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-915-4211"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Louise Shy, NP-C
• Jennifer Siart, PHARMD
• Jennifer Ann Sigler, PHD
• Lyra Azalia Sihra, MD
• America Silva, MD
• Silver Sands Recovery, LLC
• Silver Sands Recovery, LLC
• Jaret Simonsen, DMD
• Evan Nicholas Simonson, D.P.M.
• Bardia Sinaei

• Physical Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.