Spooner Phoenix Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPOONER PHOENIX PHYSICAL THERAPY, INC.

Practice address

303 E Baseline Rd
Suite 110
Phoenix, AZ 85042-6530

Phone

(602) 243-1476

Fax

(602) 243-1010

NPI assigned

Oct 30, 2012

Last updated

Jun 19, 2013By 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

Timothy A Spooner, PTNPI 1528011053

Title

President

Phone

(480) 551-4961

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spooner Physical Therapy & Hand Rehab, PC

  dba Spooner Phoenix Physical Therapy

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1104048248

  O20040615001765

  Same enrollment

Locations

Practitioners 30

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.

• Timothy A Spooner, PT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1528011053
  Authorized official Same address or phone
• Tanner Chitwood, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1972097178
  NPD
• Charu Chopra, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1609109990
  NPD
• Matthew Getz, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1144658154
  NPD
• Holly Hussey, MOT

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1750702759
  NPD
• Nathan Nguyen, DPT

  • Occupational Therapist
  • Gilbert, AZ
  • NPI 1649713017
  NPD
• Ty J. Pehrson, M.O.T.

  • Occupational Therapist
  • Glendale, AZ
  • NPI 1043265929
  NPD
• Mark A Rhodey, M.S.P.T.

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1417048364
  NPD
• Mallory Jane Rodriguez, DPT, OTR/L

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1376817866
  NPD
• Emily W Stafford, DPT

  • Physical Therapist
  • Avondale, AZ
  • NPI 1306226568
  NPD
• Kory Scott Straine, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1437424918
  NPD
• Joey Weber, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1487103909
  NPD

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1477807485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606710",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426530",
            "telephone_number": "602-243-1476",
            "fax_number": "602-243-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER PHOENIX PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-551-4961",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321509",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Spong, PSY.D.
• Jessica Madeline Spontak, PA-C
• Spooner Ahwatukee Hand Therapy, PC
• Spooner Arcadia Hand Therapy, P.C.
• Spooner North West Hand Therapy, P.C.
• Spooner Physical Therapy & Hand Rehab PC
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Phoenix Physical Therapy)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Sunnyslope)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Desert Ridge)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner South Mountain)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.