Arizona Orthopedic Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC

Practice address

1781 E State Highway 69
Suite 28
Prescott, AZ 86301

Phone

(623) 242-6908

Fax

(623) 242-6909

NPI assigned

Oct 28, 2019

Organization subpart

Yes

Parent organization

ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Ryann P Roberts, DPT

Title

Owner

Phone

(623) 242-6908

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Arizona Orthopedic PT6 organizations share this tax ID, including this one

Part of

Arizona Orthopedic PT

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1043853906
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1063055929
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Glendale, AZ
  • NPI 1164815874
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1760025621
  NPD tax ID
• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  NPPES parent name

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1639712110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959218",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 E STATE HIGHWAY 69",
            "address_2": "SUITE 28",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RYANN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-242-6908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156886",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@azopt.net",
            "affiliation": "N",
            "endpointDescription": "encryped email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1781 E State Highway 69",
            "address_2": "Suite 28",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "86301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Susan B Armstrong, LPC
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• Physical Therapy Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.