Bluestone Therapy LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Legal business name

BLUESTONE THERAPY LLC

Practice address

10769 N Frank Lloyd Wright Blvd Ste A110
Scottsdale, AZ 85259-2688

Phone

(602) 405-8182

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Jaqueline Fong, LMTNPI 1205581352

Title

Owner/ LMT

Phone

(602) 405-8182

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaqueline Fong, LMT

  • Mechanotherapist
  • Scottsdale, AZ
  • NPI 1205581352
  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1487309530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10769 N FRANK LLOYD WRIGHT BLVD STE A110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592688",
            "telephone_number": "602-405-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 N FRANK LLOYD WRIGHT BLVD STE A110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592688",
            "telephone_number": "602-405-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "OWNER/ LMT",
        "authorized_official_telephone_number": "602-405-8182",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mechanotherapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.