Organization Active NPI

Independent Physical Therapy

  • Specialist
  • Fountain Hills, AZ
National Provider Identifier
1508021676
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INDEPENDENT PHYSICAL THERAPY
Practice address
13215 N Verde River Dr
5
Fountain Hills, AZ 85268-8308
Phone
(480) 837-1530
Fax
(480) 837-1545
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Tresha Baldwin
Title
Owner/PT
Phone
(480) 821-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AZ Primary

Addresses

Primary practice location

13215 N Verde River Dr
5
Fountain Hills, AZ 85268-8308

Mailing address

13215 N Verde River Dr
5
Fountain Hills, AZ 85268-8308
Phone (480) 837-1530

National Provider Directory

National Provider Directory

Locations

13215 N Verde River Dr
Ste 5
Fountain Hills, AZ 85268
Phone (480) 837-1530

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1508021676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR",
            "address_2": "5",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688308",
            "telephone_number": "480-837-1530",
            "fax_number": "480-837-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR",
            "address_2": "5",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688308",
            "telephone_number": "480-837-1530",
            "fax_number": "480-837-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "TRESHA",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "480-821-1997"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.