Organization Active NPI

Proformance Physical Therapy

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1609191949
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 30, 2010

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.