Trailblaze Physical Therapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRAILBLAZE PHYSICAL THERAPY AND WELLNESS LLC

Practice address

3131 N 70TH St Apt 2053
Scottsdale, AZ 85251-6389

Phone

(845) 709-1553

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katharine McWilliams, PT, DPT, CSCSNPI 1457744039

Title

Physical Therapist/Owner

Phone

(845) 709-1553

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katharine McWilliams, PT, DPT, CSCS

  • Physical Therapist
  • Poughkeepsie, NY
  • NPI 1457744039
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1477186369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 N 70TH ST APT 2053",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516389",
            "telephone_number": "845-709-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 N 70TH ST APT 2053",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516389",
            "telephone_number": "845-709-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILBLAZE PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "845-709-1553",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TR Rick Lawson DDS PC
• Tracey L Trabue, DOCTOR OF CHIROPRACT
• Austin Collin Tracy, RPSGT
• Traditions Hospice of Scottsdale, LLC (Traditions Health)
• Madeleine Trail
• Lolita Tramel, PMHNP, FNP
• Madison Trammell, AUD
• Bich-Ngoc Thi Tran, DMD
• Dominic Duy Hanh Tran, M.D.
• Khang Hoang Tran, M.D.

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.