Individual provider Active NPI

Gary L Cunningham, PT

  • Physical Therapist
  • Prescott Valley, AZ
National Provider Identifier
1730160185
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7177 Issued in AZ
Practice address
3085 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone
(928) 772-8707
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29038 CA
Physical Therapist 225100000X 7177 AZ Primary

Addresses

Primary practice location

3085 N Windsong Dr
Prescott Valley, AZ 86314-2248

Mailing address

3085 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone (928) 772-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29038CAMDClinical Social Worker
PT29038CAMDLicensed Psychiatric Technician
7177AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Physical Therapy PLLC CurrentSince Sep 10, 2012 Accepting new patients
Progressive Physical Therapy Inc Physical Therapist PastSince Apr 1, 1999 Accepting new patients
Northern Arizona Orthopaedics, LTD. Past Accepting new patients
Center for Physical Excellence Physical Therapist Past Accepting new patients
Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. PastSince Sep 1, 2006 Accepting new patients
Garcia Physical Therapy, LLC PastSince Jan 29, 2016 Accepting new patients
Nurses Network Incorporated PastSince Sep 13, 2020 Accepting new patients

Locations

411 W Road 1 N
Ste A
Chino Valley, AZ 86323
Phone (928) 636-8521

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1730160185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29038",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.