Trinity Outpatient Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TRINITY OUTPATIENT PHYSICAL THERAPY LLC

Practice address

4226 Avenida Cochise Ste 5
Sierra Vista, AZ 85635-5818

Phone

(520) 458-1536

Fax

(520) 458-4245

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Carinna Wilmot, RN, MSN

Title

Co-Owner

Phone

(520) 458-1536

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Outpatient Physical Therapy LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1720549843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 AVENIDA COCHISE STE 5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355818",
            "telephone_number": "520-458-1536",
            "fax_number": "520-458-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 AVENIDA COCHISE STE 5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355818",
            "telephone_number": "520-458-1536",
            "fax_number": "520-458-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OUTPATIENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "CARINNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "520-458-1536",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA CORPORATION COMMISSION",
            "identifier": "1896278",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TrinityPTAZ@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4226 Avenida Cochise Ste 5",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856355818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Outpatient Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.