Active NPI
Premier Physical Therapy Az, LLC
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1609770551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PREMIER PHYSICAL THERAPY AZ, LLC
- Practice address
- 8101 N 19TH Ave Unit B
Phoenix, AZ 85021-5161 - Phone
- (630) 920-4670
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Vaughn
- Title
- HR/Business Developement
- Phone
- (630) 920-4670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
8101 N 19TH Ave Unit B
Phoenix, AZ 85021-5161
Mailing address
570 Village Center Dr Ste 205
Burr Ridge, IL 60527-4526
Phone (630) 920-4670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1609770551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 VILLAGE CENTER DR STE 205",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605274526",
"telephone_number": "630-920-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 N 19TH AVE UNIT B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215161",
"telephone_number": "630-920-4670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PHYSICAL THERAPY AZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "HR/BUSINESS DEVELOPEMENT",
"authorized_official_telephone_number": "630-920-4670"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.