Individual provider Active NPI

Ramon Villa III, PTA

  • Orthopedic Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1669953923
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12098A Issued in AZ
Practice address
7800 E Pierce St
Scottsdale, AZ 85257-4606
Phone
(480) 640-1135
Fax
(480) 597-1734
NPI assigned
Aug 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 12098A AZ Primary

Addresses

Primary practice location

7800 E Pierce St
Scottsdale, AZ 85257-4606

Mailing address

1336 W Lawrence LN
Phoenix, AZ 85021-4439

Other names 1

  • Ray Villa III Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12098AAZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Performance and Recovery, LLC CurrentSince Apr 6, 2021 Accepting new patients
Rehab Plus Sports Conditioning, LLC Orthopedic Past Accepting new patients
Rehab Plus, Inc. Orthopedic Past Accepting new patients

Locations

7800 E Pierce St
Scottsdale, AZ 85257
Phone (480) 640-1135

Organizations & group practices 3

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1669953923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 W LAWRENCE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 E PIERCE ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574606",
            "telephone_number": "480-640-1135",
            "fax_number": "480-597-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "RAMON",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "12098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "VILLA",
            "suffix": "III",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.