NPIMap

Organization Active NPI

Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
National Provider Identifier
1609299494
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Practice address
8643 W Kelton LN Ste 106
Peoria, AZ 85382-3505
Phone
(623) 979-8900
Fax
(623) 979-1809
NPI assigned
Jan 29, 2014
Organization subpart
Yes
Parent organization
SPOONER PHYSICAL THERAPY & HAND REHAB, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Timothy A Spooner, PT
Title
President
Phone
(480) 551-4958

Specialties & licenses 1

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

Addresses

Primary practice location

8643 W Kelton LN Ste 106
Peoria, AZ 85382-3505

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (623) 979-8900

Other identifiers 1

IdentifierTypeStateIssuer
324787MedicaidAZ

Other names 1

  • SPOONER PEORIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spooner Physical Therap16 organizations share this tax ID, including this one
Part of
Spooner Physical Therap

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

13352 N 83rd Ave
Ste A101
Peoria, AZ 85381
Phone (623) 979-8900

8643 W Kelton Ln
Ste 106
Peoria, AZ 85382
Phone (623) 979-8900

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1609299494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "623-979-8900",
            "fax_number": "623-979-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8643 W KELTON LN STE 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823505",
            "telephone_number": "623-979-8900",
            "fax_number": "623-979-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
        "enumeration_date": "2014-01-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-551-4958",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324787",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOONER PEORIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.