Individual provider Active NPI

Timothy Dunleavy, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1487347746
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1331 N 7TH St Ste 100
Phoenix, AZ 85006-2765
Phone
(602) 253-6623
NPI assigned
Jun 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

1331 N 7TH St Ste 100
Phoenix, AZ 85006-2765

Mailing address

1331 N 7TH St Ste 100
Phoenix, AZ 85006-2765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230711003749 AZ Practitioner - Physical Therapist in Private Practice 5698134468 Reassigns benefits to 1 organization
I20240610003415 IL Practitioner - Physical Therapist in Private Practice 5698134468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Ortho PCGroup PAC ID 5698676740, 31 clinicians

Practice addresses (Care Compare)

1148 W Diversey Pkwy
Chicago, IL 60614-7489
Phone (773) 904-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince May 17, 2023 Accepting new patients
Sports and Ortho P.C CurrentSince May 29, 2024 Accepting new patients

Locations

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

1331 N 7th St
Ste 100
Phoenix, AZ 85006
Phone (602) 222-2234

1745 W Hunt Hwy
Ste 103B
San Tan Valley, AZ 85143

3301 N Miller Rd
Ste 170
Scottsdale, AZ 85251
Phone (480) 941-2739

10909 S Western Ave
Chicago, IL 60643
Phone (773) 779-7969

412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1487347746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062765",
            "telephone_number": "602-253-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "TIMOTHY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.