Valley Rehabilitation, LTD.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VALLEY REHABILITATION, LTD.

Practice address

13128 N 94TH Dr Ste 207
Peoria, AZ 85381-4253

Phone

(623) 974-1797

Fax

(623) 974-1798

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth David Lundeen

Title

Physical Therapist

Phone

(623) 974-1797

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Camou Holdings

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1649909979
  NPPES parent name
• Valley Rehabilitation Partners LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1225761356
  NPPES parent name

Practitioners 7

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

• Zachary James Mazeski, DPT

  • Physical Therapist
  • Peoria, AZ
  • NPI 1871277293
  Medicare reassignment NPD
• Alexander Constantino, DPT

  • Physical Therapist
  • Schaumburg, IL
  • NPI 1316464738

  AZ

  Medicare reassignment NPD
• Cynthia Marie Sewall, DPT

  • Physical Therapist
  • Milford, MI
  • NPI 1790870921

  AZ

  Medicare reassignment NPD
• Evan Clay Smith, DPT

  • Physical Therapist
  • Surprise, AZ
  • NPI 1619613874
  NPD
• Peter J Colla, P.T.

  • Orthopedic Physical Therapist
  • Phoenix, AZ
  • NPI 1033325915
  NPD (past)
• Jim W Kester, P.T.

  • Physical Therapist
  • Surprise, AZ
  • NPI 1801863238
  NPD (past)
• Stacie R Segebart, P.T.

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1104809870
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1497722102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 N 94TH DR STE 207",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814253",
            "telephone_number": "623-974-1797",
            "fax_number": "623-974-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 N 94TH DR STE 207",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814253",
            "telephone_number": "623-974-1797",
            "fax_number": "623-974-1798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 N 94th Dr",
            "address_2": "G-1",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814835",
            "country_code": "US",
            "telephone_number": "623-972-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY REHABILITATION, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "LUNDEEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-974-1797"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6850",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID -",
            "identifier": "Z74518",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0293460",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z2293",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pt@valleyrehabltd.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "13128 N 94th Dr Ste 207",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valley Kidney Institute LLC
• Valley of the Sun Pediatrics, P.C.
• Valley Orthodontic Group/ Peoria P.L.L.C.
• Valley Pain Centers of Arizona, LLC
• Valley Rehabilitation Partners LLC
• Sara Beth Van Atta, LMT
• Susanna Gertruida Van Zyl, RN
• Michelle Alexandra Vana, SLP
• Lenore Janis Vandergriend
• Tara Eden Vanderpool, RDH

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.