NPIMap

Organization Active NPI

Endurance Rehabilitation LLC

  • Orthopedic Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1619974052
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ENDURANCE REHABILITATION LLC
Practice address
9376 E Bahia Dr
Suite 103
Scottsdale, AZ 85260-1532
Phone
(480) 556-8406
Fax
(480) 607-5840
NPI assigned
Jun 30, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nathan Quinten Koch, P.T., A.T.C.NPI 1710035399
Title
Managing Member
Phone
(480) 556-8406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X AZ Primary

Addresses

Primary practice location

9376 E Bahia Dr
Suite 103
Scottsdale, AZ 85260-1532

Mailing address

9376 E Bahia Dr
Suite 103
Scottsdale, AZ 85260-1532
Phone (480) 556-8406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000503 AZ Part B Supplier - Clinic/Group Practice 6103861687 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
Practice locations: Mesa, AZ; Scottsdale, AZ; Phoenix, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9376 E Bahia Dr
Scottsdale, AZ 85260
Phone (480) 556-8406

9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619974052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "480-556-8406",
            "fax_number": "480-607-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "480-556-8406",
            "fax_number": "480-607-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "QUINTEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-556-8406",
        "authorized_official_credential": "P.T., A.T.C."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 21, 2022; 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.