Organization Active NPI

Future All American Sports Therapy Elite Rehabilitation LLC

Doing business as Fasterpt LLC

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1578323861
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FUTURE ALL AMERICAN SPORTS THERAPY ELITE REHABILITATION LLC
Doing business as
Fasterpt LLC
Practice address
4930 N 1St Ave
Tucson, AZ 85718-5615
Phone
(520) 440-0341
NPI assigned
Mar 21, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Covaughn Deboskie-JohnsonNPI 1629847066
Title
Owner
Phone
(520) 440-0341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4930 N 1St Ave
Tucson, AZ 85718-5615

Mailing address

4930 N 1St Ave
Tucson, AZ 85718-5615
Phone (520) 440-0341

Other names 1

  • FASTERPT LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018001310 AZ Part B Supplier - Clinic/Group Practice 7315479052 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1578323861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-440-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-440-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE ALL AMERICAN SPORTS THERAPY ELITE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-04-24",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "DEBOSKIE-JOHNSON",
        "authorized_official_first_name": "COVAUGHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-440-0341"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FASTERPT LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FASTERPT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.