Organization Active NPI

Biomechanix Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1508047770
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BIOMECHANIX PHYSICAL THERAPY, PLC
Practice address
750 N. Estrella Parkway
Suite 50
Goodyear, AZ 85338
Phone
(623) 882-2992
Fax
(623) 925-4923
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mrs. Jessica Teichert
Title
Practice Manager
Phone
(623) 882-2992

Specialties & licenses 1

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

Addresses

Primary practice location

750 N. Estrella Parkway
Suite 50
Goodyear, AZ 85338

Mailing address

750 N. Estrella Parkway
Suite 50
Goodyear, AZ 85338
Phone (623) 882-2992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000226 AZ Part B Supplier - Clinic/Group Practice 3274615588 Receives reassigned benefits from 4 practitioners
Practice locations: Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

750 N Estrella Pkwy
Ste 50
Goodyear, AZ 85338
Phone (602) 451-8507

Practitioners & affiliated clinicians

Practitioners 4

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1508047770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N. ESTRELLA PARKWAY",
            "address_2": "SUITE 50",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-882-2992",
            "fax_number": "623-925-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N. ESTRELLA PARKWAY",
            "address_2": "SUITE 50",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-882-2992",
            "fax_number": "623-925-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMECHANIX PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "TEICHERT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-882-2992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.