Individual provider Active NPI

Nicholas Hunter, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1477165389
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5545 E Broadway Blvd Ste 113
Tucson, AZ 85711-3843
Phone
(520) 372-2714
Fax
(520) 844-9950
NPI assigned
Aug 21, 2020
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5545 E Broadway Blvd Ste 113
Tucson, AZ 85711-3843

Mailing address

4850 E Baseline Rd Ste 114
Mesa, AZ 85206-4626
Phone (480) 396-2781

Other practice location 1

6872 E Sunrise Dr Ste 100
Tucson, AZ 85750-0861
Phone (520) 989-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107001224 NE Practitioner - Physical Therapist in Private Practice 0648690354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4088NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest LLC CurrentSince Nov 7, 2022 Accepting new patients
Orthowest LLC Physical Therapist CurrentSince Nov 7, 2022 Accepting new patients
Aw Broadway and Craycroft, LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Ideal Rehabilitation LLC PastSince Sep 22, 2020 Accepting new patients

Locations

5545 E Broadway Blvd
Ste 113
Tucson, AZ 85711
Phone (520) 372-2714

3415 S 205th St
Elkhorn, NE 68022
Phone (402) 609-1750

2725 S 144th St
Ste 212
Omaha, NE 68144
Phone (402) 354-4000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1477165389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-396-2781",
            "fax_number": "480-854-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 E BROADWAY BLVD STE 113",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113843",
            "telephone_number": "520-372-2714",
            "fax_number": "520-844-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6872 E Sunrise Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857500861",
            "country_code": "US",
            "telephone_number": "520-989-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "NICHOLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.