NPIMap

Organization Active NPI

Generations Physical Therapy

  • Pediatric Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1710181748
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
5580 Issued in AZ
Legal business name
GENERATIONS PHYSICAL THERAPY
Practice address
2200 E Williams Field Rd
Suite 200
Gilbert, AZ 85295-0761
Phone
(480) 320-2304
Fax
(888) 243-7186
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Angela Marie Hallums, D.P.T.
Title
Ceo
Phone
(480) 206-4264

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 5580 AZ Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X TSLP5625 AZ
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP0332 AZ

Addresses

Primary practice location

2200 E Williams Field Rd
Suite 200
Gilbert, AZ 85295-0761

Mailing address

4960 S Gilbert Rd
Suite 1-496
Chandler, AZ 85249-5982
Phone (480) 917-2745

Other identifiers 2

IdentifierTypeStateIssuer
1275552465OtherAZINDIVIUAL NPI
741662OtherAZINDIVIDUAL AHCCCS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1710181748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S GILBERT RD",
            "address_2": "SUITE 1-496",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495982",
            "telephone_number": "480-917-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD",
            "address_2": "SUITE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950761",
            "telephone_number": "480-320-2304",
            "fax_number": "888-243-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "HALLUMS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-206-4264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "5580",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5625",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1275552465",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL AHCCCS",
            "identifier": "741662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.