Active NPI
Gary L Cunningham, PT
- Physical Therapist
- Prescott Valley, AZ
National Provider Identifier
1730160185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29038 | CA | MD | Clinical Social Worker |
| PT29038 | CA | MD | Licensed Psychiatric Technician |
| 7177 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Physical Therapy PLLC | Current | Accepting new patients | |
| Progressive Physical Therapy Inc | Physical Therapist | Past | 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. | Past | Accepting new patients | |
| Garcia Physical Therapy, LLC | Past | Accepting new patients | |
| Nurses Network Incorporated | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Chino Valley, AZ
- NPI 1285769034
-
- Physical Therapy Clinic/Center
- Prescott Valley, AZ
- NPI 1831149913
-
- Physical Therapist
- Prescott, AZ
- NPI 1093768020
-
- Specialist
- Prescott, AZ
- NPI 1477535623
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1164495503
-
- Home Health Agency
- Prescott Valley, AZ
- NPI 1215990486
-
- Physical Therapy Clinic/Center
- Tarzana, CA
- NPI 1184605586
Physical Therapist
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.