NPIMap

Organization Active NPI

Recovia Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1679338982
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RECOVIA PHYSICAL THERAPY, LLC
Practice address
2411 W Northern Ave Ste 201
Phoenix, AZ 85021-4874
Phone
(480) 712-4600
Fax
(602) 428-7045
NPI assigned
Feb 15, 2024
Organization subpart
Yes
Parent organization
RECOVIA PHYSICAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mrs. Melissa Richards
Title
HR Manager
Phone
(480) 712-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X

Addresses

Primary practice location

2411 W Northern Ave Ste 201
Phoenix, AZ 85021-4874

Mailing address

PO Box 20216
Phoenix, AZ 85036-0216
Phone (480) 712-4600

Other names 1

  • Recovia PT LLC - Northern Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2210090Recovia, LLC - Northern2411 W Northern Ave Ste 201, Phoenix, AZ 85021Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Recovia Physical Therapy LLC10 organizations share this tax ID, including this one
Part of
Recovia Physical Therapy LLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1679338982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850360216",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W NORTHERN AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214874",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVIA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVIA PHYSICAL THERAPY, LLC",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "480-712-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovia PT LLC - Northern",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.