Aurelio Performance Physical Therapy of Scottsdale LLC

Key facts

NPI

1609581123

Entity type

Organization (NPI type 2)

Primary specialty

Physical Medicine & Rehabilitation Physician 208100000X

Legal business name

AURELIO PERFORMANCE PHYSICAL THERAPY OF SCOTTSDALE LLC

Practice address

8010 E McDowell Rd Ste 113
Scottsdale, AZ 85257-3868

Phone

(316) 260-3311

NPI assigned

Jan 18, 2023

Organization subpart

No

Authorized official

Name

Logan Madding

Title

Director of Business Operations

Phone

(316) 260-3311

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Klemme, DPT Physical Therapist · Scottsdale, AZ · NPI 1013609304
  Medicare reassignment Care Compare group NPD AZ
• Marco A Machado, PT Physical Therapist · Scottsdale, AZ · NPI 1396404042
  Medicare reassignment Care Compare group NPD AZ
• Rachel McMillan, DPT, PT Physical Therapist · Scottsdale, AZ · NPI 1023975422
  Medicare reassignment Care Compare group NPD AZ
• Taylor Wingstrom, DPT Physical Therapist · Phoenix, AZ · NPI 1003536475
  Medicare reassignment Care Compare group NPD AZ
• Lauren Beauchamp, DPT Physical Therapist · Scottsdale, AZ · NPI 1003742800
  NPD
• Micah Hall, MD Family Medicine Physician · Andover, KS · NPI 1194088484
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2023.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1609581123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 E CENTRAL AVE STE 308",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062839",
            "telephone_number": "316-260-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 E MCDOWELL RD STE 113",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573868",
            "telephone_number": "316-260-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURELIO PERFORMANCE PHYSICAL THERAPY OF SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "MADDING",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "316-260-3311"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Austin Physical Therapy, LLC

All providers in Scottsdale, AZ · Physical Medicine & Rehabilitation Physician in Arizona