Traveling Physical Therapist PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C51320 Issued in AZ

Legal business name

TRAVELING PHYSICAL THERAPIST PLLC

Doing business as

TPT

Practice address

520 W Sheldon St
Ste 6
Prescott, AZ 86301-2717

Phone

(928) 515-1748

Fax

(928) 445-5054

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Kay Butler, ORTHOTIST

Title

Ceo

Phone

(928) 515-1748

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TPT Doing business as

Locations

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1740721406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CIMARRON CT",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011563",
            "telephone_number": "928-515-4178",
            "fax_number": "928-233-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W SHELDON ST",
            "address_2": "STE 6",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012717",
            "telephone_number": "928-515-1748",
            "fax_number": "928-445-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING PHYSICAL THERAPIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-515-1748",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": "C51320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIST",
            "identifier": "C51320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.