Organization Active NPI

Foundational Physical Therapy LLC

Doing business as Chandler Physical Therapy

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1427334028
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOUNDATIONAL PHYSICAL THERAPY LLC
Doing business as
Chandler Physical Therapy
Practice address
5590 W Chandler Blvd
BLDG B Ste 4
Chandler, AZ 85226-3697
Phone
(480) 786-4969
Fax
(480) 786-5118
NPI assigned
Oct 26, 2011
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Mr. Eric S Christensen, DPTNPI 1639406648
Title
Owner Director
Phone
(480) 786-4969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ Primary
Hand Occupational Therapist 225XH1200X AZ

Addresses

Primary practice location

5590 W Chandler Blvd
BLDG B Ste 4
Chandler, AZ 85226-3697

Mailing address

5590 W Chandler Blvd
BLDG B Ste 4
Chandler, AZ 85226-3697
Phone (480) 786-4969

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherAZMEDICARE

Other names 1

  • Chandler Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000951 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789844473 Receives reassigned benefits from 6 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1427334028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD",
            "address_2": "BLDG B STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263697",
            "telephone_number": "480-786-4969",
            "fax_number": "480-786-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD",
            "address_2": "BLDG B STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263697",
            "telephone_number": "480-786-4969",
            "fax_number": "480-786-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "480-786-4969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.