NPIMap

Organization Active NPI

Azpt, LLC

  • Physical Therapist
  • Show Low, AZ
National Provider Identifier
1659313203
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6094 Issued in AZ
Legal business name
AZPT, LLC
Practice address
5171 Cub Lake Rd
Suite C-360
Show Low, AZ 85901-7866
Phone
(928) 537-0248
Fax
(928) 537-0251
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Milton G Randall, PT
Title
Owner - PT
Phone
(928) 537-0248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 6094 AZ Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 1465 AZ

Addresses

Primary practice location

5171 Cub Lake Rd
Suite C-360
Show Low, AZ 85901-7866

Mailing address

5171 Cub Lake Rd
Suite C-360
Show Low, AZ 85901-7866
Phone (928) 537-0248

Other names 1

  • Arizona Center for Physical Therapy & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

861 E Cooley St
Ste B
Show Low, AZ 85901
Phone (928) 207-6873

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1659313203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "SUITE C-360",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017866",
            "telephone_number": "928-537-0248",
            "fax_number": "928-537-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "SUITE C-360",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017866",
            "telephone_number": "928-537-0248",
            "fax_number": "928-537-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER - PT",
        "authorized_official_telephone_number": "928-537-0248",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6094",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "1465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Center for Physical Therapy & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.