Phoenix Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PHOENIX PHYSICAL THERAPY

Practice address

555 Rivergate Ste B1-108
Durango, CO 81301-7473

Phone

(970) 426-9074

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan E Earl, PTNPI 1962464917

Title

Owner

Phone

(970) 426-9074

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan E Earl, MPT

  • Physical Therapist
  • Durango, CO
  • NPI 1962464917
  Authorized official Same address or phone

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1568035251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE STE B1-108",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017473",
            "telephone_number": "970-426-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE STE B1-108",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017473",
            "telephone_number": "970-426-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-426-9074",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Marie Phillippi, M.A. CCC-SLP
• April Christina Phillips, DNP, FNP-C, PMHNP-BC
• Sarah Phillips, LSW
• Daniella Anne Phillis, D.M.D.
• Brinceton Michael Phipps, M.D.
• Physicians Surgery Center, LLC (ASC Durango at Mercy Regional Medical Center)
• John C Piccaro, MD
• Stephanie Anne Pickren, P.T.
• Katherine Jeanne Piel, FNP-C
• Edward J Pienkos, MD

• Orthopedic Physical Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.