NPIMap

Organization Active NPI

Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1427386879
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8711 Issued in AZ
Legal business name
SELECT PHYSICAL THERAPY
Practice address
2853 S Sossaman Rd
Suite A106
Mesa, AZ 85212-9625
Phone
(480) 373-9700
NPI assigned
Nov 23, 2009
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SELECT MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Jessica Marie Kwiatkowski, P.T., DPT
Title
Physical Therapist
Phone
(480) 373-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8711 AZ Primary

Addresses

Primary practice location

2853 S Sossaman Rd
Suite A106
Mesa, AZ 85212-9625

Mailing address

2853 S Sossaman Rd
Suite A106
Mesa, AZ 85212-9625
Phone (480) 373-9700

National Provider Directory

National Provider Directory
Tax ID family
Healthsouth Sports Med169 organizations share this tax ID, including this one
Part of
Healthsouth Sports Med

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1427386879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 S SOSSAMAN RD",
            "address_2": "SUITE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129625",
            "telephone_number": "480-373-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 S SOSSAMAN RD",
            "address_2": "SUITE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129625",
            "telephone_number": "480-373-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL CORPORATION",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-373-9700",
        "authorized_official_credential": "P.T., DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "8711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.