Percival Fontecha

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11280 Issued in AZ

Practice address

4045 E Bell Rd Ste 150
Phoenix, AZ 85032-2239

Phone

(602) 992-8352

Fax

(602) 992-5557

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Therapy and Wellness, PLLCGroup PAC ID 4880848415, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Therapy and Wellness, PLLC

  • Orthopedic Physical Therapist
  • Tempe, AZ
  • NPI 1760729032
  Medicare reassignment Care Compare group NPD
• Orthopedic Therapy and Wellness

  • Orthopedic Physical Therapist
  • Phoenix, AZ
  • NPI 1922842483
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Glendale, AZ
  • NPI 1235654237
  NPD (past)
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1285271684
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1457746224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 E SAHUARO DR APT 2056",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322239",
            "telephone_number": "602-992-8352",
            "fax_number": "602-992-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTECHA",
        "first_name": "PERCIVAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "11280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Fonseca, RN
• Lucia Elizabeth Fonseca, IBCLC
• Marina Fonseca
• Francesca Fontana
• Tara Noelle Fontana
• Mario Fontes, DACM, L.AC
• Foot & Ankle Institute of Arizona LLC
• Foot & Ankle Specialists of Arizona PLLC
• Foot & Ankle Specialists of Arizona PLLC
• Foot and Ankle Center PLLC

• Orthopedic Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.