NPIMap

Organization Active NPI

Foothills Sports Medicine and Rehabilitation, Scottsdale, LLC

  • Physical Therapist
  • Paradise Valley, AZ
National Provider Identifier
1740283274
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2252 Issued in AZ
Legal business name
FOOTHILLS SPORTS MEDICINE AND REHABILITATION, SCOTTSDALE, LLC
Practice address
5410 N. Scottsdale Rd
Suite a 100
Paradise Valley, AZ 85253-4433
Phone
(480) 609-0822
Fax
(480) 609-0828
NPI assigned
May 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Andy Moriarty, PT
Title
Physical Therapist, Owner
Phone
(480) 609-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2252 AZ Primary

Addresses

Primary practice location

5410 N. Scottsdale Rd
Suite a 100
Paradise Valley, AZ 85253-4433

Mailing address

5410 N. Scottsdale Rd
Suite a 100
Paradise Valley, AZ 85253-4433
Phone (480) 609-0822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1740283274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N. SCOTTSDALE RD",
            "address_2": "SUITE A 100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534433",
            "telephone_number": "480-609-0822",
            "fax_number": "480-609-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N. SCOTTSDALE RD",
            "address_2": "SUITE A 100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534433",
            "telephone_number": "480-609-0822",
            "fax_number": "480-609-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SPORTS MEDICINE AND REHABILITATION, SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "480-609-0822",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.