Individual provider Active NPI

Kevin James Girard, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1669720363
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11366 Issued in AZ
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

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 172 clinicians

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

LicenseStateTypeSpecialty
12085-24WIMDPhysical Therapist
11366AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation- Tatum, Inc. Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation Litchfield Park, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation - Seville, LLC Physical Therapist CurrentSince Apr 15, 2017 Accepting new patients
Foothills Sports Medicine and Rehabilitation Biltmore LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation - Ocotillo, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation-Surprise, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Rehabilitation - Tempe, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Foothills Sports Medicine & Orthopaedics Phoenix, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients

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.

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.

Verify at the official NPI Registry.