Active NPI
Heather Peden, MPT
- Physical Therapist
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10413
- Practice address
- 10494 W Thunderbird Blvd
Suite 102
Sun City, AZ 85351-3058 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Dec 13, 2013
- Last updated
- Mar 28, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10413 | AZ | Primary |
| Physical Therapist | 225100000X | 10413 | TX |
Addresses
Primary practice location
10494 W Thunderbird Blvd
Suite 102
Sun City, AZ 85351-3058
Mailing address
18444 N 25TH Ave
Suite 310
Phoenix, AZ 85023-1261
Phone (623) 537-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25229 S Sun Lakes Blvd
Suite 119
Sun Lakes, AZ 85248-6465
Phone (480) 883-6734
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10413 | AZ | MD | Professional Counselor |
| 10413 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| 360 Physical Therapy, LLC | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248
Phone (480) 883-6734
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Fountain Hills, AZ
- NPI 1811153992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1700217924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE",
"address_2": "SUITE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231261",
"telephone_number": "623-537-5600",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10494 W THUNDERBIRD BLVD",
"address_2": "SUITE 102",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513058",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDEN",
"first_name": "HEATHER",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-13",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10413",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "10413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.