Active NPI
Michelle Lynn Santefort, P.T.
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1528138401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5807
- Practice address
- 750 N 40TH St
Phoenix, AZ 85008-6486 - Phone
- (480) 650-2734
- NPI assigned
- Nov 8, 2006
- Last updated
- Sep 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5807 | AZ | Primary |
Addresses
Primary practice location
750 N 40TH St
Phoenix, AZ 85008-6486
Mailing address
750 N 40TH St
Phoenix, AZ 85008-6486
Phone (480) 650-2734
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5807 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1528138401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N 40TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086486",
"telephone_number": "480-650-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N 40TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086486",
"telephone_number": "480-650-2734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTEFORT",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.