Organization Active NPI

Post-Therapy Reconditioning

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1427416346
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP5496 Issued in AZ
Legal business name
POST-THERAPY RECONDITIONING
Practice address
2410 W Ruthrauff Rd Ste 110P
Tucson, AZ 85705-1952
Phone
(520) 293-7736
Fax
(520) 292-1362
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Mr. Steven Jeffrey MarquezNPI 1386676369
Title
Owner, Ceo
Phone
(520) 292-1363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X AP5496 AZ Primary

Addresses

Primary practice location

2410 W Ruthrauff Rd Ste 110P
Tucson, AZ 85705-1952

Mailing address

2410 W Ruthrauff Rd Ste 110P
Tucson, AZ 85705-1952
Phone (520) 293-7736

Other identifiers 1

IdentifierTypeStateIssuer
563892MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2410 W Ruthrauff Rd
Ste 110P
Tucson, AZ 85705
Phone (520) 293-7736

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1427416346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W RUTHRAUFF RD STE 110P",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051952",
            "telephone_number": "520-293-7736",
            "fax_number": "520-292-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W RUTHRAUFF RD STE 110P",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051952",
            "telephone_number": "520-293-7736",
            "fax_number": "520-292-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST-THERAPY RECONDITIONING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "520-292-1363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP5496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563892",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.