Central Arizona Therapy LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

556003 Issued in AZ

Legal business name

CENTRAL ARIZONA THERAPY LLC

Doing business as

Central AZ Therapy

Practice address

513 S Azure Dr.
Camp Verde, AZ 86322

Phone

(928) 567-7330

Fax

(928) 567-4146

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Diane A Bowlus, OT L

Title

Ceo

Phone

(928) 567-7330

Specialties & licenses 1

Addresses

Other names 1

• Central AZ Therapy Doing business as

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558391714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863220640",
            "telephone_number": "928-567-7330",
            "fax_number": "928-567-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S AZURE DR.",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-567-7330",
            "fax_number": "928-567-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARIZONA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWLUS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-567-7330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "556003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central AZ Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camp Verde Physical Rehabiltation
• Camp Verde Unified School District #28
• David E Castillo, PT, MPT, AT/L
• Sonia Maria Castrita
• Central Arizona Sports and Physical Therapy, LLC (Central Arizona Sports and Physical Therapy)
• Charlotte Anne Chase, PHD
• Kegan Jordan Coplan, PHARMD
• Copper Canyon Family Dental
• Copper Canyon Family Health Center
• Copper Canyon Fire & Medical District

• Specialist in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.