Individual provider Active NPI

Noah Flores, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1679382659
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-32538 Issued in AZ
Practice address
4635 N 14TH St
Phoenix, AZ 85014-4016
Phone
(602) 264-9039
NPI assigned
Jan 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-32538 AZ Primary

Addresses

Primary practice location

4635 N 14TH St
Phoenix, AZ 85014-4016

Mailing address

408 E Campo Bello Dr
Phoenix, AZ 85022-2360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513001551 AZ Practitioner - Physical Therapist in Private Practice 5597283614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Mountain Therapy LLCGroup PAC ID 0648797944, 7 clinicians

Practice addresses (Care Compare)

7370 E Gold Dust Ave
RM 212
Scottsdale, AZ 85258-1025
Phone (602) 816-3924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-32538AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Mountain Therapy LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Montecito Outpatient Rehabilitation LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

7370 E Gold Dust Ave
Rm 212
Scottsdale, AZ 85258
Phone (602) 816-3924

Organizations & group practices 2

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1679382659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E CAMPO BELLO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 N 14TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144016",
            "telephone_number": "602-264-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "NOAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32538",
            "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 Jan 3, 2025; 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.