NPIMap

Organization Active NPI

Orthomed LLC

Doing business as Proactive Physical Therapy

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1619152519
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOMED LLC
Doing business as
Proactive Physical Therapy
Practice address
1925 W Orange Grove Rd
#204
Tucson, AZ 85704-1143
Phone
(520) 742-7107
Fax
(520) 742-9010
NPI assigned
Jan 9, 2008
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Amanda White
Title
Practice Manager
Phone
(520) 545-1127

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225500000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1925 W Orange Grove Rd
#204
Tucson, AZ 85704-1143

Mailing address

PO Box 43085
Tucson, AZ 85733-3085
Phone (520) 742-7107

Other names 1

  • Proactive Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1619152519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43085",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333085",
            "telephone_number": "520-742-7107",
            "fax_number": "520-742-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD",
            "address_2": "#204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041143",
            "telephone_number": "520-742-7107",
            "fax_number": "520-742-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "520-545-1127"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.