Active NPI
Az Rehab and P.T.
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1699017434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7187 | Other | AZ | STATE LICENSE OF AZ IN PT |
National Provider Directory
National Provider DirectoryNPI 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.