Individual provider Active NPI

Mark Anthony Tovar Jr., PTA

  • Physical Therapy Assistant
  • Scottsdale, AZ
National Provider Identifier
1508449141
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14290 Issued in AZ
Practice address
9376 E Bahia Dr
Scottsdale, AZ 85260-1532
Phone
(480) 556-8406
NPI assigned
May 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14290 AZ Primary

Addresses

Primary practice location

9376 E Bahia Dr
Scottsdale, AZ 85260-1532

Mailing address

8138 W Tonto LN
Peoria, AZ 85382-2809
Phone (602) 320-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14290AZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance Rehabilitation LLC PastSince May 9, 2021 Accepting new patients
Endurance Rehabilitation LLC PastSince May 9, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1508449141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8138 W TONTO LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822809",
            "telephone_number": "602-320-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "480-556-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "14290",
            "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 May 2, 2021; 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.