Organization Active NPI

Arizona Physical Therapy, PC

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1487838140
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1899 Issued in AZ
Legal business name
ARIZONA PHYSICAL THERAPY, PC
Practice address
2900 E Broadway Blvd
Suite 132
Tucson, AZ 85716-5343
Phone
(520) 889-1622
Fax
(520) 889-1618
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Robert L Androff, PT, SCDNPI 1295784411
Title
President/Owner
Phone
(520) 889-1622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1899 AZ Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2900 E Broadway Blvd
Suite 132
Tucson, AZ 85716-5343

Mailing address

1825 W. Calle Tranquila
Tucson, AZ 85745
Phone (520) 889-1622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000159 AZ Part B Supplier - Clinic/Group Practice 3678574845 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Nogales, AZ; Tucson, AZ

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Arizona Physical Therapy PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

441 N Grand Ave
Ste 12
Nogales, AZ 85621
Phone (520) 281-2585

2800 E Ajo Way
#201
Tucson, AZ 85713
Phone (520) 889-1622

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1487838140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W. CALLE TRANQUILA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85745",
            "telephone_number": "520-889-1622",
            "fax_number": "520-889-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E BROADWAY BLVD",
            "address_2": "SUITE 132",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165343",
            "telephone_number": "520-889-1622",
            "fax_number": "520-889-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "ANDROFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "520-889-1622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, SCD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1899",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.