Active NPI
Kevin James Girard, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11366
- Practice address
- 375 E Virginia Ave
Suite B
Phoenix, AZ 85004-1202 - Phone
- (602) 264-0443
- Fax
- (602) 264-9727
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12085-24 | WI | |
| Physical Therapist | 225100000X | 11366 | AZ | Primary |
Addresses
Primary practice location
375 E Virginia Ave
Suite B
Phoenix, AZ 85004-1202
Mailing address
375 E Virginia Ave
Suite B
Phoenix, AZ 85004-1202
Phone (602) 264-0443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150417000019 | AZ | Practitioner - Physical Therapist in Private Practice | 8224356522 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foothills Sports Medicine and Rehabilitation LLC
Practice addresses (Care Compare)
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12085-24 | WI | MD | Physical Therapist |
| 11366 | AZ | MD | Physician Assistant |
Practice roles
Locations
3200 S Alma School Rd
Ste 101
Chandler, AZ 85248
Phone (480) 782-7831
3336 E Chandler Heights Rd
Ste 126
Gilbert, AZ 85298
Phone (480) 840-6125
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
5110 N Dysart Rd
Ste 148
Litchfield Pk, AZ 85340
Phone (623) 547-4739
1702 S Val Vista Dr
Ste 107
Mesa, AZ 85204
Phone (480) 505-8140
7707 W Deer Valley Rd
Ste 100
Peoria, AZ 85382
Phone (623) 376-9100
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
539 E Glendale Ave
Ste 105
Phoenix, AZ 85020
Phone (602) 241-3145
11225 N 28th Dr
Ste F100
Phoenix, AZ 85029
Phone (602) 866-0066
15410 S Mountain Pkwy
Phoenix, AZ 85044
Phone (480) 329-8087
2222 E Highland Ave
Ste 200
Phoenix, AZ 85016
Phone (602) 595-6180
375 E Virginia Ave
Ste B
Phoenix, AZ 85004
Phone (602) 264-0443
4550 E Bell Rd
Ste 270
Phoenix, AZ 85032
Phone (602) 424-0494
15410 S Mountain Pkwy
Ste 108
Phoenix, AZ 85044
11250 N Tatum Blvd
Ste 101
Phoenix, AZ 85028
Phone (602) 464-6189
21811 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 513-6854
9332 N 95th Way
Ste 105
Scottsdale, AZ 85258
Phone (480) 614-5878
5410 N Scottsdale Rd
Ste A100
Scottsdale, AZ 85253
Phone (480) 609-0822
3225 N Civic Center Plz
Ste 10
Scottsdale, AZ 85251
Phone (480) 884-1717
13967 W Grand Ave
Ste C100
Surprise, AZ 85374
Phone (623) 474-3952
15543 N Reems Rd
Ste 133
Surprise, AZ 85374
Phone (623) 975-5374
325 W Elliot Rd
Ste 104
Tempe, AZ 85284
Phone (480) 756-8617
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
AZ, Physical Therapist
-
- Physical Therapist
- Phoenix, AZ
- NPI 1457304792
AZ, Physical Therapist
-
- Physical Therapist
- Chandler, AZ
- NPI 1316092117
AZ, Physical Therapist
-
- Physical Therapist
- Gilbert, AZ
- NPI 1053426767
AZ, Physical Therapist
-
- Physical Therapist
- Tempe, AZ
- NPI 1871916973
AZ, Physical Therapist
-
- Physical Therapist
- Litchfield Park, AZ
- NPI 1134317779
AZ, Physical Therapist
-
- Physical Therapist
- Surprise, AZ
- NPI 1750544623
AZ, Physical Therapist
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518160183
AZ, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Mesa, AZ
- NPI 1215648217
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1538870373
-
- Physical Therapist
- Phoenix, AZ
- NPI 1386691947
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1669720363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 E VIRGINIA AVE",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041202",
"telephone_number": "602-264-0443",
"fax_number": "602-264-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E VIRGINIA AVE",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041202",
"telephone_number": "602-264-0443",
"fax_number": "602-264-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARD",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12085-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.