NPIMap

Organization Active NPI

MWR Physical Therapy Inc

Doing business as Resotre Physical Therapy and Sports Medicine

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1639203995
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5220 Issued in AZ
Legal business name
MWR PHYSICAL THERAPY INC
Doing business as
Resotre Physical Therapy and Sports Medicine
Practice address
7400 S Power Rd BLDG 3 Ste 112
Gilbert, AZ 85297-9282
Phone
(480) 682-5460
Fax
(480) 682-5465
NPI assigned
Mar 16, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Jaime Lindley
Title
Business Manager
Phone
(480) 980-6288

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5220 AZ Primary
Physical Therapy Assistant 225200000X 7101A AZ
Athletic Trainer 2255A2300X 0080 AZ

Addresses

Primary practice location

7400 S Power Rd BLDG 3 Ste 112
Gilbert, AZ 85297-9282

Mailing address

7400 S Power Rd BLDG 3 Ste 112
Gilbert, AZ 85297-9282
Phone (480) 682-5460

Other names 1

  • Resotre Physical Therapy and Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

7400 S Power Rd
Bldg 3
Gilbert, AZ 85297
Phone (480) 682-5460

Practitioners & affiliated clinicians

Practitioners 3

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1639203995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD BLDG 3 STE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979282",
            "telephone_number": "480-682-5460",
            "fax_number": "480-682-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD BLDG 3 STE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979282",
            "telephone_number": "480-682-5460",
            "fax_number": "480-682-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWR PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "LINDLEY",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-980-6288"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5220",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "7101A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resotre Physical Therapy and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.