Individual provider Active NPI

Antoinette Munoz, PT

  • Physical Therapist
  • Sedona, AZ
National Provider Identifier
1679665707
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4060 Issued in AZ
Practice address
1835 W Highway 89a
Suite 6
Sedona, AZ 86336-5570
Phone
(928) 282-2411
Fax
(928) 282-2067
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 4060 AZ Primary

Addresses

Primary practice location

1835 W Highway 89a
Suite 6
Sedona, AZ 86336-5570

Mailing address

PO Box 776
Cottonwood, AZ 86326-0776
Phone (928) 639-0166

Other identifiers 1

IdentifierTypeStateIssuer
428179MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4060AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Touch Therapy LLC Physical Therapist PastSince Oct 8, 2006 Accepting new patients
Resource Physical Therapy Physical Therapist PastSince Oct 1, 2016 Accepting new patients
Resource Physical Therapy Past Accepting new patients
Above & Beyond Physical Therapy of Sedona Physical Therapist PastSince Jan 1, 2008 Accepting new patients

Organizations & group practices 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1679665707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863260776",
            "telephone_number": "928-639-0166",
            "fax_number": "928-639-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W HIGHWAY 89A",
            "address_2": "SUITE 6",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365570",
            "telephone_number": "928-282-2411",
            "fax_number": "928-282-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ANTOINETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428179",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.