Active NPI
Ramon Villa III, PTA
- Orthopedic Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1669953923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 12098A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12098A | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Performance and Recovery, LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1073129698
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1912207960
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.