Active NPI
Foothills Sports Medicine & Rehabilitation -JCC, Inc
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1578830352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FOOTHILLS SPORTS MEDICINE & REHABILITATION -JCC, INC
- Practice address
- 3225 N Civic Center PLZ
Suite 10
Scottsdale, AZ 85251-6919 - Phone
- (480) 483-7121
- NPI assigned
- Nov 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Basten
- Title
- Owner
- Phone
- (480) 689-5515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3225 N Civic Center PLZ
Suite 10
Scottsdale, AZ 85251-6919
Mailing address
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
National Provider Directory
National Provider DirectoryLocations
3271 N Civic Center Plz
Ste 10
Scottsdale, AZ 85251
Phone (480) 945-0030
12701 N Scottsdale Rd
Ste 207C
Scottsdale, AZ 85254
Phone 48063449081110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1578830352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 N CIVIC CENTER PLZ",
"address_2": "SUITE 10",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516919",
"telephone_number": "480-483-7121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTHILLS SPORTS MEDICINE & REHABILITATION -JCC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-22",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "BASTEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-689-5515"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Foot and Ankle Center of Arizona PC
- Footcare Physicians of Scottsdale, PLLC
- Kristy Jane Foote, PHARMD
- Foothills Plastic Surgery, P.C.
- Foothills Sports Medicine & Rehabilitation - Grayhawk, LLC
- Foothills Sports Medicine Physical Therapy - NE Scottsdale LLC
- Cameron Forbes, MD
- Kathryn E Forbes, B.S.
- Arienne Ford, LPC
- Jenna Ford, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.