Active NPI
Michelle Marie Babcock, PT MSPT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1689627630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5937
- Practice address
- 16611 S 40TH St
Suite 130
Phoenix, AZ 85048-0562 - Phone
- (480) 706-1199
- Fax
- (480) 706-3999
- NPI assigned
- May 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5937 | AZ | Primary |
Addresses
Primary practice location
16611 S 40TH St
Suite 130
Phoenix, AZ 85048-0562
Mailing address
9097 E Desert Cove
Suite 110
Scottsdale, AZ 85260
Phone (480) 860-4298
Other names 1
- Ms. Michelle Marie Demenezes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5937 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Rehabilitation and Hand Centers Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Chandler, AZ
- NPI 1548343635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1689627630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE",
"address_2": "SUITE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-860-4298",
"fax_number": "480-860-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16611 S 40TH ST",
"address_2": "SUITE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480562",
"telephone_number": "480-706-1199",
"fax_number": "480-706-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABCOCK",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "DEMENEZES",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "PT MSPT",
"code": "1",
"type": "Former 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 Jan 30, 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.