Organization Active NPI

Physical Therapy of Sonoita

  • Physical Therapist
  • Sonoita, AZ
National Provider Identifier
1609105931
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2699 Issued in AZ
Legal business name
PHYSICAL THERAPY OF SONOITA
Practice address
50 Sherwood Forest Lane
Sonoita, AZ 85637
Phone
(520) 455-5439
Fax
(520) 455-5439
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Ms. Bridget A Meyers Gaines, M.P.T.
Title
Owner
Phone
(520) 455-5439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2699 AZ Primary

Addresses

Primary practice location

50 Sherwood Forest Lane
Sonoita, AZ 85637

Mailing address

PO Box 776
Sonoita, AZ 85637-0776
Phone (520) 455-5439

Other names 1

  • Bridgett Meyers MPT Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000055 AZ Part B Supplier - Clinic/Group Practice 6507041910 Receives reassigned benefits from 2 practitioners
Practice locations: Benson, AZ

National Provider Directory

National Provider Directory

Locations

995 W 4th St
Ste G
Benson, AZ 85602
Phone (520) 237-8091

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": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1609105931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370776",
            "telephone_number": "520-455-5439",
            "fax_number": "520-455-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHERWOOD FOREST LANE",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "85637",
            "telephone_number": "520-455-5439",
            "fax_number": "520-455-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF SONOITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MEYERS GAINES",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-455-5439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgett Meyers MPT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sonoita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.