NPIMap

Organization Active NPI

Endurance Rehabilitation LLC

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1497061774
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ENDURANCE REHABILITATION LLC
Practice address
9376 E Bahia Dr Ste 103
Scottsdale, AZ 85260-1532
Phone
(480) 556-8406
Fax
(480) 607-5840
NPI assigned
Aug 25, 2010
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ENDURANCE REHABILITATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Sheri Lynn Reese
Title
Practice Manager
Phone
(480) 556-8406

Specialties & licenses 1

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

Addresses

Primary practice location

9376 E Bahia Dr Ste 103
Scottsdale, AZ 85260-1532

Mailing address

9376 E Bahia Dr Ste 103
Scottsdale, AZ 85260-1532
Phone (480) 556-8406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000503 AZ Part B Supplier - Clinic/Group Practice 6103861687 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mesa, AZ; Scottsdale, AZ; Phoenix, AZ

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Endurance Rehabilitation LLC

Locations

3215 S Sossaman Rd
Bldg 1
Mesa, AZ 85212
Phone (480) 634-5545

6636 E Baseline Rd
Mesa, AZ 85206
Phone (480) 634-5545

4440 N 36th St
Ste 240
Phoenix, AZ 85018
Phone (602) 956-4040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1497061774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "480-556-8406",
            "fax_number": "480-634-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "480-556-8406",
            "fax_number": "480-607-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDURANCE REHABILITATION LLC",
        "enumeration_date": "2010-08-25",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-556-8406"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "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 Aug 28, 2023; 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.