NPIMap

Organization Active NPI

Camelback Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1689611584
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2134 Issued in AZ
Legal business name
CAMELBACK PHYSICAL THERAPY, LLC
Practice address
2020 W. Chimney Rock Rd.
Phoenix, AZ 85085
Phone
(602) 230-7784
Fax
(602) 230-0145
NPI assigned
May 31, 2006
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Ms. Sharon Elizabeth Hallihan, PTNPI 1821278821
Title
Owner Physical Therapist
Phone
(602) 230-7784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2134 AZ Primary

Addresses

Primary practice location

2020 W. Chimney Rock Rd.
Phoenix, AZ 85085

Mailing address

2020 W. Chimney Rock Rd.
Phoenix, AZ 85085
Phone (602) 230-7784

Other identifiers 3

IdentifierTypeStateIssuer
TC00831OtherAZTRICARE
147117OtherAZACCHS
0297370OtherAZBCBS

Other names 1

  • Camelback Therapy Associates Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1689611584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W. CHIMNEY ROCK RD.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "602-230-7784",
            "fax_number": "602-230-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W. CHIMNEY ROCK RD.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "602-230-7784",
            "fax_number": "602-230-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELBACK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "HALLIHAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-230-7784",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TC00831",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCHS",
            "identifier": "147117",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0297370",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Therapy Associates Inc",
            "code": "4",
            "type": "Former Legal Business 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 Apr 13, 2011; 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.