NPIMap

Organization Active NPI

Concentra Medical Center

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1598945768
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
D05865502 Issued in AZ
Legal business name
CONCENTRA MEDICAL CENTER
Practice address
1818 E Sky Harbor Cir N
Phoenix, AZ 85034-3407
Phone
(602) 244-9500
Fax
(602) 914-9159
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Ms. Devin Marie Novak, P.T
Title
Physical Therapist
Phone
(602) 244-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X D05865502 AZ Primary

Addresses

Primary practice location

1818 E Sky Harbor Cir N
Phoenix, AZ 85034-3407

Mailing address

1818 E Sky Harbor Cir N
Phoenix, AZ 85034-3407
Phone (602) 244-9500

National Provider Directory

National Provider Directory

Locations

1818 E Sky Harbor Cir N
Phoenix, AZ 85034
Phone (602) 244-9500

Practitioners & affiliated clinicians

Practitioners 3

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1598945768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E SKY HARBOR CIR N",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850343407",
            "telephone_number": "602-244-9500",
            "fax_number": "602-914-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E SKY HARBOR CIR N",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850343407",
            "telephone_number": "602-244-9500",
            "fax_number": "602-914-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-244-9500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "D05865502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.