NPIMap

Organization Active NPI

Affinity Physical Therapy LLC

  • Specialist
  • Florence, AZ
National Provider Identifier
1487751772
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5881 Issued in AZ
Legal business name
AFFINITY PHYSICAL THERAPY LLC
Practice address
448 E. Butte
Suite 3
Florence, AZ 85232-1431
Phone
(520) 868-0098
Fax
(520) 868-1098
NPI assigned
Sep 20, 2006
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Mr. Will Andrew Humphreys, PTNPI 1336101278
Title
Owner
Phone
(520) 868-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5881 AZ Primary

Addresses

Primary practice location

448 E. Butte
Suite 3
Florence, AZ 85232-1431

Mailing address

PO Box 1431
Florence, AZ 85232-1431
Phone (520) 868-0098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000048 AZ Part B Supplier - Clinic/Group Practice 7214099886 Receives reassigned benefits from 11 practitioners
Practice locations: Coolidge, AZ; Florence, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory
Tax ID family
Affinity Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1491 N Arizona Blvd
Ste 109
Coolidge, AZ 85128
Phone (520) 424-2222

403 W Central Ave
Coolidge, AZ 85128
Phone (520) 424-2222

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1487751772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1431",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852321431",
            "telephone_number": "520-868-0098",
            "fax_number": "520-868-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E. BUTTE",
            "address_2": "SUITE 3",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852321431",
            "telephone_number": "520-868-0098",
            "fax_number": "520-868-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-868-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.