Organization Active NPI

Skyline Physical Therapy, Aquatics and Rehab Specialists

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1447266101
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5823 Issued in AZ
Legal business name
SKYLINE PHYSICAL THERAPY, AQUATICS AND REHAB SPECIALISTS
Practice address
567 E University Dr
Mesa, AZ 85203-7944
Phone
(877) 474-3424
Fax
(480) 984-5750
NPI assigned
Aug 1, 2006
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mr. Larry D. Briand, PT, ATC
Title
Co Owner
Phone
(877) 552-2996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5823 AZ Primary

Addresses

Primary practice location

567 E University Dr
Mesa, AZ 85203-7944

Mailing address

PO Box 3497
Sturtevant, WI 53177-0300
Phone (877) 552-2996

National Provider Directory

National Provider Directory
Tax ID family
Skyline Physical Therapy Aquatics and Rehab Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

567 E University Dr
Mesa, AZ 85203
Phone (480) 834-9000

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1447266101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "877-552-2996",
            "fax_number": "866-245-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037944",
            "telephone_number": "877-474-3424",
            "fax_number": "480-984-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PHYSICAL THERAPY, AQUATICS AND REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BRIAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "877-552-2996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5823",
            "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 Feb 25, 2008; 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.