Individual provider Active NPI

Erin Elizabeth Fleming, DPT

  • Physical Therapist
  • Green Valley, AZ
National Provider Identifier
1609581271
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215537 Issued in VA
Practice address
18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403
Phone
(520) 477-3130
Fax
(480) 885-1788
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215537 VA Primary
Physical Therapist 225100000X 25771 MA

Addresses

Primary practice location

18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

11 Dairy Ln
Fredericksburg, VA 22405-2663
Phone (540) 371-9414

Other practice location 2

70 Fulton St
Boston, MA 02109-1402
Phone (617) 843-5001

Other practice location 3

189 May St
Worcester, MA 01602-4339
Phone (508) 791-6351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25771MAMDPharmacist
2305215537VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Rehabilitation LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1609581271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18773 S NOGALES HWY STE 105",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140403",
            "telephone_number": "520-477-3130",
            "fax_number": "480-885-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Dairy Ln",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224052663",
            "country_code": "US",
            "telephone_number": "540-371-9414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091402",
            "country_code": "US",
            "telephone_number": "617-843-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 May St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016024339",
            "country_code": "US",
            "telephone_number": "508-791-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215537",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.