NPIMap

Organization Active NPI

Summit Physical Therapy, PC

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1669685244
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSICAL THERAPY, PC
Practice address
1950 S Country Club Dr # 101
Mesa, AZ 85210-6008
Phone
(480) 557-7474
Fax
(480) 557-0808
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Tammy Till
Title
Practive Administrator
Phone
(480) 557-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X AZ Primary

Addresses

Primary practice location

1950 S Country Club Dr # 101
Mesa, AZ 85210-6008

Mailing address

PO Box 1294
Mesa, AZ 85211-1294
Phone (480) 557-7474

National Provider Directory

National Provider Directory

Locations

2165 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 557-7474

2165 E Warner Rd
Tempe, AZ 85284
Phone (480) 557-7474

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1669685244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1294",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852111294",
            "telephone_number": "480-557-7474",
            "fax_number": "480-557-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S COUNTRY CLUB DR # 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106008",
            "telephone_number": "480-557-7474",
            "fax_number": "480-557-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "TILL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRACTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-557-7474"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.