Individual provider Active NPI

Shaun Brewer, DPT

  • Physical Therapist
  • Casa Grande, AZ
National Provider Identifier
1629547609
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1295 E Florence Blvd Ste 1-3
Casa Grande, AZ 85122-4277
Phone
(520) 494-3058
Fax
(520) 214-5059
NPI assigned
Nov 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1295 E Florence Blvd Ste 1-3
Casa Grande, AZ 85122-4277

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other practice location 1

2225 E Centennial Pkwy Ste 106
North Las Vegas, NV 89081-5602
Phone (702) 936-7165

Other practice location 2

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3555
Phone (520) 225-0129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226000408 AZ Practitioner - Physical Therapist in Private Practice 2860733128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

5393 S Calle Santa Cruz
Suite 107
Tucson, AZ 85706-3556
Phone (520) 225-0129

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Dec 2, 2019 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations (25 of 53)

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

1295 E Florence Blvd
Ste 13
Casa Grande, AZ 85122
Phone (520) 494-3058

1295 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 836-3009

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

3165 S Alma School Rd
Ste 30
Chandler, AZ 85248
Phone (480) 281-0414

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

3131 S Market St
Ste 109S
Gilbert, AZ 85295

3131 S Market St
Ste 109
Gilbert, AZ 85295

115 E Williams Field Rd
Ste 103
Gilbert, AZ 85295
Phone (480) 281-0779

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

20320 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
Phone (520) 635-2260

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

1021 N Ellsworth Rd
Ste 102
Mesa, AZ 85207
Phone (480) 319-8101

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

Organizations & group practices 2

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1629547609",
    "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",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 E FLORENCE BLVD STE 1-3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224277",
            "telephone_number": "520-494-3058",
            "fax_number": "520-214-5059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 E Centennial Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890815602",
            "country_code": "US",
            "telephone_number": "702-936-7165",
            "fax_number": "702-677-3334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5393 S Calle Santa Cruz Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857063555",
            "country_code": "US",
            "telephone_number": "520-225-0129",
            "fax_number": "520-244-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SHAUN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.