Organization Active NPI

Aurelio Performance Physical Therapy of Scottsdale LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
National Provider Identifier
1609581123
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 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
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Logan Madding
Title
Director of Business Operations
Phone
(316) 260-3311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

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

Mailing address

12627 E Central Ave Ste 308
Wichita, KS 67206-2839
Phone (316) 260-3311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230302002883 AZ Part B Supplier - Clinic/Group Practice 7618340183 Receives reassigned benefits from 4 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "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": []
}

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 May 8, 2023; 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.