Active NPI
Arizona Manual Therapy Centers PLLC
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1457399073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3300
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ07152 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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
- Arizona Internists PLLC
- Arizona Kids Home Care
- Arizona Kids Therapy PLC
- Arizona Lithotripsy LLC
- Arizona Lung & Critical Care Specialists PC (AZ Lung & Critical Care)
- Arizona Medical Boutique LLC
- Arizona Medical Group of Mesa, PC
- Arizona Medical Psychology, PLC
- Arizona Medsource Holdings LLC (H&L Medical)
- Arizona Mobile Dermatology and Wound Care PLC
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.