Individual provider Active NPI

Stanton Urling

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1528500352
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12689 Issued in AZ
Practice address
6632 E Baseline Rd
BLDG 6, Ste 102
Mesa, AZ 85206-4426
Phone
(480) 219-7519
Fax
(480) 219-7520
NPI assigned
Nov 10, 2016
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12689 AZ Primary

Addresses

Primary practice location

6632 E Baseline Rd
BLDG 6, Ste 102
Mesa, AZ 85206-4426

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126002618 AZ Practitioner - Physical Therapist in Private Practice 1850673815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roc Physical Therapy, PLLCGroup PAC ID 6204195316, 5 clinicians

Practice addresses (Care Compare)

5656 S Power Rd
Suite 139
Gilbert, AZ 85295-8490
Phone (480) 272-7797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12689AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Physical Therapy Physical Therapist CurrentSince Feb 26, 2018 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Nov 3, 2016 Accepting new patients
Recovia LLC Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

18301 N 79th Ave
Ste B122
Glendale, AZ 85308
Phone (623) 486-3333

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (408) 219-7519

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1528500352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 E BASELINE RD",
            "address_2": "BLDG 6, STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064426",
            "telephone_number": "480-219-7519",
            "fax_number": "480-219-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URLING",
        "first_name": "STANTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.