Foothills Sports Medicine & Rehabilitation - Prescott Valley, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FOOTHILLS SPORTS MEDICINE & REHABILITATION - PRESCOTT VALLEY, INC

Practice address

3033 N Windsong Dr
Suite 101
Prescott Valley, AZ 86314-2290

Phone

(480) 706-1161

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Michael Basten, PT

Title

Owner

Phone

(480) 689-5515

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H Kostrewa, PT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1679576698
  NPD
• Clinton Borman, DPT, MTC

  • Physical Therapist
  • Glendale, AZ
  • NPI 1851398119
  NPD (past)

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1649688730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N WINDSONG DR",
            "address_2": "SUITE 101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142290",
            "telephone_number": "480-706-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SPORTS MEDICINE & REHABILITATION - PRESCOTT VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "BASTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-689-5515",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Fletcher
• Grace Mary Flicker, MS/SLP/ECE
• Lilly Alejandra Flores-Fiumara, B.C.B.A.-D.
• Lisa Marie Flynn, RN
• Bibina Fonjong, PHARMACIST
• Forefront Dermatology SC (Arizona Dermatology Group, a Forefront Dermatology Practice)
• Forefront Dermatology SC (Arizona Dermatology Group, a Forefront Dermatology Practice)
• Jeanine L Foreman, LPC
• Founders Healthcare, LLC (Preferred Homecare)
• Brenda Cherie Fox, LPC

• Physical Therapist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.