Central Arizona Sports and Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7402 Issued in AZ

Legal business name

CENTRAL ARIZONA SPORTS AND PHYSICAL THERAPY, LLC

Doing business as

Central Arizona Sports and Physical Therapy

Practice address

155 S Montezuma Castle Hwy Ste 2
Camp Verde, AZ 86322-7393

Phone

(928) 300-1936

Fax

(928) 567-8826

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Castillo, PT, MPT, AT/L

Title

Owner, PT

Phone

(928) 300-1936

Specialties & licenses 1

Addresses

Other names 1

• Central Arizona Sports and Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1437637220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863220518",
            "telephone_number": "928-300-1936",
            "fax_number": "928-567-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MONTEZUMA CASTLE HWY STE 2",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227393",
            "telephone_number": "928-300-1936",
            "fax_number": "928-567-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARIZONA SPORTS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "928-300-1936",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MPT,  AT/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "7402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Arizona Sports and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camp Verde Fire District
• Camp Verde Physical Rehabiltation
• Camp Verde Unified School District #28
• David E Castillo, PT, MPT, AT/L
• Sonia Maria Castrita
• Central Arizona Therapy LLC (Central AZ Therapy)
• Charlotte Anne Chase, PHD
• Kegan Jordan Coplan, PHARMD
• Copper Canyon Family Dental
• Copper Canyon Family Health Center

• Physical Therapy Clinic/Center in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.