San Tan Physical Therapy, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SAN TAN PHYSICAL THERAPY, PLLC

Practice address

20261 E Ocotillo Rd
Suite #110
Queen Creek, AZ 85142-8806

Phone

(480) 677-2771

Fax

(480) 677-2768

NPI assigned

Apr 23, 2007

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joal R Miller, P.T.NPI 1841270477

Title

Owner

Phone

(480) 677-2771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 6

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.

• Joal R Miller, P.T.

  • Physical Therapist
  • Queen Creek, AZ
  • NPI 1841270477
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Marie Deramos, DPT

  • Physical Therapist
  • San Tan Valley, AZ
  • NPI 1255817177
  Medicare reassignment Care Compare group NPD
• Carl Quinn Newton, DPT, MS, CSCS

  • Physical Therapist
  • Mesa, AZ
  • NPI 1467817387
  Medicare reassignment Care Compare group NPD
• Kimberly Marston, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1568191344
  Medicare reassignment NPD
• Zachary Parkinson, DPT

  • Physical Therapist
  • Yuma, AZ
  • NPI 1720604051
  Medicare reassignment NPD
• Karen S Stewart, PT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1437162021
  Medicare reassignment NPD

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1710105747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE #110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-677-2771",
            "fax_number": "480-677-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE #110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-677-2771",
            "fax_number": "480-677-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-677-2771",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salkeld Home Care, LLC
• Ladan Samiei
• Charlyssa Sammons
• San Tam Dental Care & Mobile Clinic PC
• San Tan Pediatric Dental
• San Tan Urgent Care Health Center
• Jenna M Sander, CNM
• Zachery Lane Sanders, DO
• Dana L Sandlin, RN
• Ashley Sando

• Specialist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.