Organization Active NPI

Az Rehab and P.T.

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1699017434
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7187 Issued in AZ
Legal business name
AZ REHAB AND P.T.
Practice address
12630 N 79TH St
Scottsdale, AZ 85260-4810
Phone
(480) 213-0794
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Miss Christine M Anderson, P.T.
Title
P.T.
Phone
(480) 275-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 7187 AZ Primary

Addresses

Primary practice location

12630 N 79TH St
Scottsdale, AZ 85260-4810

Mailing address

12630 N 79TH St
Scottsdale, AZ 85260-4810
Phone (480) 213-0794

Other identifiers 1

IdentifierTypeStateIssuer
7187OtherAZSTATE LICENSE OF AZ IN PT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1699017434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 N 79TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604810",
            "telephone_number": "480-213-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 N 79TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604810",
            "telephone_number": "480-213-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ REHAB AND P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "480-275-5602",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE OF AZ IN PT",
            "identifier": "7187",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.