Individual provider Active NPI

Peter Niles

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1639677065
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13558 Issued in AZ
Practice address
9219 E Hidden Spur TRL Ste 100
Scottsdale, AZ 85255-6708
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Jan 31, 2018
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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 13558 AZ Primary

Addresses

Primary practice location

9219 E Hidden Spur TRL Ste 100
Scottsdale, AZ 85255-6708

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301000842 AZ Practitioner - Physical Therapist in Private Practice 2769743053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
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)

3033 N 44TH St
Suite 100
Phoenix, AZ 85018-7227
Phone (602) 631-3166

6036 N 19TH Ave
Suite 303
Phoenix, AZ 85015-2105
Phone (602) 535-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13558AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 31, 2020 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 3, 2018 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 31, 2020 Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 3, 2018 Accepting new patients

Locations (25 of 61)

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-1746

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

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

7225 W Harrison St
Chandler, AZ 85226
Phone (480) 306-4160

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

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234

3131 S Market St
Ste 109
Gilbert, AZ 85295

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

20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300

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

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

14044 W Camelback Rd
Ste 126
Litchfield Park, AZ 85340
Phone (623) 935-9600

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

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

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

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

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (408) 219-7519

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

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

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

21465 N 78th Ave
Ste 170
Peoria, AZ 85382
Phone (602) 380-6807

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

13640 N 7th St
Phoenix, AZ 85022
Phone (602) 493-9361

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1639677065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 E HIDDEN SPUR TRL STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556708",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13558",
            "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 Sep 1, 2022; 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.