Organization Active NPI

Yuma Orthopedic Physical Therapy LLC

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1477339059
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YUMA ORTHOPEDIC PHYSICAL THERAPY LLC
Practice address
2575 W 24TH St Apt 167a
Yuma, AZ 85364-6066
Phone
(928) 920-7027
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Maria Camila Macias, DPTNPI 1386127066
Title
Owner
Phone
(928) 920-7027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2575 W 24TH St Apt 167a
Yuma, AZ 85364-6066

Mailing address

PO Box 98
Yuma, AZ 85366-2303
Phone (928) 920-7027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409000943 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466890504 Receives reassigned benefits from 1 practitioner
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

3840 W 24th St
Ste 2
Yuma, AZ 85364

3840 W 24th St
Ste 4
Yuma, AZ 85364
Phone (928) 783-0840

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": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1477339059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662303",
            "telephone_number": "928-920-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W 24TH ST APT 167A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646066",
            "telephone_number": "928-920-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA ORTHOPEDIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CAMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-920-7027",
        "authorized_official_credential": "DPT"
    },
    "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 Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.