Organization Active NPI

Massif Holding Company LLC

Doing business as Maughan Physical Therapy

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1609065192
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5397 Issued in AZ
Legal business name
MASSIF HOLDING COMPANY LLC
Doing business as
Maughan Physical Therapy
Practice address
5050A E University Dr
Ste 114
Mesa, AZ 85205-7208
Phone
(480) 854-7001
Fax
(480) 854-7003
NPI assigned
Oct 19, 2007
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Mrs. Val Maughan
Title
Office Manager
Phone
(480) 854-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5397 AZ Primary

Addresses

Primary practice location

5050A E University Dr
Ste 114
Mesa, AZ 85205-7208

Mailing address

5050A E University Dr
Ste 114
Mesa, AZ 85205-7208
Phone (480) 854-7001

Other identifiers 1

IdentifierTypeStateIssuer
705452MedicaidAZ

Other names 1

  • Maughan Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5050 E University Dr
Ste 114
Mesa, AZ 85205
Phone (480) 733-4356

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1609065192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050A E UNIVERSITY DR",
            "address_2": "STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057208",
            "telephone_number": "480-854-7001",
            "fax_number": "480-854-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050A E UNIVERSITY DR",
            "address_2": "STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057208",
            "telephone_number": "480-854-7001",
            "fax_number": "480-854-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSIF HOLDING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-854-7001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "5397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705452",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maughan Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.