Organization Active NPI

Excel Physical Therapy

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1487845202
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4250 Issued in AZ
Legal business name
EXCEL PHYSICAL THERAPY
Practice address
8701 S Kolb Rd
#7-202
Tucson, AZ 85756-9607
Phone
(520) 440-7860
Fax
(520) 203-7659
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. Paul Christopher Wheeler, P.T.NPI 1659345437
Title
Owner
Phone
(520) 440-7860

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4250 AZ Primary

Addresses

Primary practice location

8701 S Kolb Rd
#7-202
Tucson, AZ 85756-9607

Mailing address

980 S Paperflower Ave
Tucson, AZ 85748-3536
Phone (520) 440-7860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000175 AZ Part B Supplier - Clinic/Group Practice 2365466836 Receives reassigned benefits from 3 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

8701 S Kolb Rd
#7202
Tucson, AZ 85756
Phone (520) 440-7860

Practitioners & affiliated clinicians

Practitioners 3

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1487845202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 S PAPERFLOWER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483536",
            "telephone_number": "520-440-7860",
            "fax_number": "520-203-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 S KOLB RD",
            "address_2": "#7-202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857569607",
            "telephone_number": "520-440-7860",
            "fax_number": "520-203-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-440-7860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "4250",
            "primary": true
        }
    ],
    "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 Nov 2, 2012; 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.