Active NPI
Mark R Disalvo, MPT, OCS, MTC
- Orthopedic Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1487723664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 7460
- Practice address
- 9364 E Raintree Dr
# 103
Scottsdale, AZ 85260-2200 - Phone
- (480) 661-1124
- Fax
- (480) 661-1125
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 7460 | AZ | Primary |
Addresses
Primary practice location
9364 E Raintree Dr
# 103
Scottsdale, AZ 85260-2200
Mailing address
9364 E Raintree Dr
# 103
Scottsdale, AZ 85260-2200
Phone (480) 661-1124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7460 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Past | Accepting new patients | |
| Landmark Physical Therapy, PLLC | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1437471513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1487723664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9364 E RAINTREE DR",
"address_2": "# 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602200",
"telephone_number": "480-661-1124",
"fax_number": "480-661-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9364 E RAINTREE DR",
"address_2": "# 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602200",
"telephone_number": "480-661-1124",
"fax_number": "480-661-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISALVO",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MPT, OCS, MTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "7460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.