Active NPI
Proformance Physical Therapy
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1609191949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROFORMANCE PHYSICAL THERAPY
- Practice address
- 15111 N Hayden Rd
#160-190
Scottsdale, AZ 85260-2581 - Phone
- (480) 363-4040
- NPI assigned
- Mar 30, 2010
- 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
- Bruce Bedrick
- Title
- Manager
- Phone
- (480) 363-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary |
Addresses
Primary practice location
15111 N Hayden Rd
#160-190
Scottsdale, AZ 85260-2581
Mailing address
15111 N Hayden Rd
#160-190
Scottsdale, AZ 85260-2581
Phone (480) 363-4040
National Provider Directory
National Provider DirectoryLocations
15111 N Hayden Rd
#160190
Scottsdale, AZ 85260
Phone (480) 363-4040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1609191949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15111 N HAYDEN RD",
"address_2": "#160-190",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602581",
"telephone_number": "480-363-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15111 N HAYDEN RD",
"address_2": "#160-190",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602581",
"telephone_number": "480-363-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFORMANCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "BEDRICK",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-363-4040"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.