Organization Active NPI

Metro Physical Therapy PC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1457403602
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
METRO PHYSICAL THERAPY PC
Practice address
11225 N 28TH Dr Ste F100
Phoenix, AZ 85029-5606
Phone
(602) 866-0066
Fax
(602) 866-3868
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Michael L Basten
Title
Owner
Phone
(480) 689-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11225 N 28TH Dr Ste F100
Phoenix, AZ 85029-5606

Mailing address

10000 N 31St Ave #A102
Phoenix, AZ 85051-9568
Phone (602) 866-0066

National Provider Directory

National Provider Directory

Locations

10000 N 31st Ave
Ste A102
Phoenix, AZ 85051
Phone (602) 866-0066

15288 W Brookside Ln
Ste A102
Surprise, AZ 85374
Phone (623) 776-9111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1457403602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE #A102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519568",
            "telephone_number": "602-866-0066",
            "fax_number": "602-866-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE F100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295606",
            "telephone_number": "602-866-0066",
            "fax_number": "602-866-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "BASTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-689-5515"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.