Organization Active NPI

Arizona Manual Therapy Centers PLLC

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1457399073
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3300 Issued in AZ
Legal business name
ARIZONA MANUAL THERAPY CENTERS PLLC
Practice address
16700 N Thompson Peak Pkwy
Ste 220
Scottsdale, AZ 85260-2384
Phone
(480) 629-4606
Fax
(480) 629-8511
NPI assigned
Jun 4, 2006
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Mr. Riley P Thraen
Title
Office Manager
Phone
(480) 629-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3300 AZ Primary

Addresses

Primary practice location

16700 N Thompson Peak Pkwy
Ste 220
Scottsdale, AZ 85260-2384

Mailing address

16700 N Thompson Peak Pkwy
Ste 220
Scottsdale, AZ 85260-2384
Phone (480) 629-4606

Other practice location 1

575 W Chandler Blvd Ste 129
Chandler, AZ 85225-7532
Phone (480) 629-8720

Other identifiers 1

IdentifierTypeStateIssuer
AZ07152MedicaidAZ

National Provider Directory

National Provider Directory

Locations

16700 N Thompson Peak Pkwy
Ste 220
Scottsdale, AZ 85260
Phone (480) 629-4606

8765 E Bell Rd
Ste 108
Scottsdale, AZ 85260
Phone (480) 865-2848

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1457399073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 N THOMPSON PEAK PKWY",
            "address_2": "STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602384",
            "telephone_number": "480-629-4606",
            "fax_number": "480-629-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 N THOMPSON PEAK PKWY",
            "address_2": "STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602384",
            "telephone_number": "480-629-4606",
            "fax_number": "480-629-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 W Chandler Blvd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852257532",
            "country_code": "US",
            "telephone_number": "480-629-8720",
            "fax_number": "480-621-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA MANUAL THERAPY CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "THRAEN",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-629-4606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AZ07152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.