Sports Conditioning Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPORTS CONDITIONING CLINIC

Practice address

2394 E Camelback Rd
Ste 120
Phoenix, AZ 85016-3429

Phone

(602) 224-5724

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vincent James Bocchicchio, PH D

Title

Director

Phone

(602) 224-5724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1437483591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 E CAMELBACK RD",
            "address_2": "STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163429",
            "telephone_number": "602-224-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 E CAMELBACK RD",
            "address_2": "STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163429",
            "telephone_number": "602-224-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS CONDITIONING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "BOCCHICCHIO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-224-5724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spooner Physical Therapy & Hand Rehab, PC
• Spooner Rehab, PC
• Christopher Roy Spooner, NMD
• Shad Arthur Spooner
• Sports & Fam Care Clinic Inc
• Christine E Sports, RD
• Samantha Kathleen Sposet, DO
• Spotlight Pediatric Therapy PLLC (Spotlight Pediatric Therapy)
• Amanda Spradling
• Casey C Spragg, CCC-SLP

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.