Individual provider Active NPI

Nicholas Daniel Newquist, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1740890516
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31375 Issued in AZ
Practice address
5410 E High St Ste 107
Phoenix, AZ 85054-5457
Phone
(602) 404-8012
NPI assigned
Aug 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31375 AZ Primary

Addresses

Primary practice location

5410 E High St Ste 107
Phoenix, AZ 85054-5457

Mailing address

8275 E Bell Rd Apt 1122
Scottsdale, AZ 85260-1030
Phone (847) 848-4070

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ssalazar@fyzical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826002359 AZ Practitioner - Physical Therapist in Private Practice 7416374129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physical Therapy 3 LLCGroup PAC ID 2668988171, 7 clinicians
Maximum Potential Sport and Fitness Training Inc.Group PAC ID 1759488919, 4 clinicians

Practice addresses (Care Compare)

4575 E Cactus Rd
Suite 130
Phoenix, AZ 85032-7700
Phone (623) 208-7575

5410 E High St
Suite 107
Phoenix, AZ 85054-5457
Phone (602) 404-8012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31375AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Potential Sport & Fitness Training Inc. CurrentSince Aug 13, 2020 Accepting new patients
Impact Physical Therapy - 2 LLC CurrentSince Feb 23, 2026 Accepting new patients
Impact Physical Therapy LLC Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients
Impact Physical Therapy 3 LLC Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients

Locations

7727 W Deer Valley Rd
Ste 210
Peoria, AZ 85382
Phone (623) 208-7575

4575 E Cactus Rd
Ste 130
Phoenix, AZ 85032
Phone (602) 482-0994

5410 E High St
Ste 107
Phoenix, AZ 85054
Phone (480) 282-8485

20950 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 222-7246

20801 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (623) 208-7575

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1740890516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 E BELL RD APT 1122",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601030",
            "telephone_number": "847-848-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 E HIGH ST STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545457",
            "telephone_number": "602-404-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWQUIST",
        "first_name": "NICHOLAS",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ssalazar@fyzical.com",
            "affiliation": "N",
            "address_1": "5410 E High St Ste 107",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850545457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.