Foothills Sports Medicine & Rehabilitation - Grayhawk, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FOOTHILLS SPORTS MEDICINE & REHABILITATION - GRAYHAWK, LLC

Practice address

21811 N Scottsdale Rd
Sute 120
Scottsdale, AZ 85255-7441

Phone

(480) 706-1161

Fax

(480) 706-7997

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Basten, PT

Title

Owner

Phone

(480) 689-5515

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Siamack Hozhabri, PT

  • Physical Therapist
  • Plano, TX
  • NPI 1538277769
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1710199278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21811 N SCOTTSDALE RD",
            "address_2": "SUTE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557441",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21811 N SCOTTSDALE RD",
            "address_2": "SUTE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557441",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SPORTS MEDICINE & REHABILITATION - GRAYHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "BASTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-689-5515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L Fonza, M.SC SLP CF
• Foot and Ankle Center of Arizona PC
• Footcare Physicians of Scottsdale, PLLC
• Kristy Jane Foote, PHARMD
• Foothills Plastic Surgery, P.C.
• Foothills Sports Medicine & Rehabilitation -JCC, Inc
• Foothills Sports Medicine Physical Therapy - NE Scottsdale LLC
• Cameron Forbes, MD
• Kathryn E Forbes, B.S.
• Arienne Ford, LPC

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.