Active NPI
Phillip Thomas Edmundson
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034143
- Practice address
- 2424 N Wyatt Dr Ste 130
Tucson, AZ 85712-6102 - Phone
- (520) 784-6200
- Fax
- (520) 784-6109
- NPI assigned
- May 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034143 | AZ | Primary |
Addresses
Primary practice location
2424 N Wyatt Dr Ste 130
Tucson, AZ 85712-6102
Mailing address
PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702004163 | AZ | Practitioner - Physical Therapist in Private Practice | 7315458486 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arenson Wasserbeck LLCTucson Orthopaedic Institute Professional Corporation
Practice addresses (Care Compare)
1370 N Silverbell Rd
Suite 160
Tucson, AZ 85745-2291
Phone (520) 372-2724
2424 N Wyatt Dr
Suite 130
Tucson, AZ 85712-6115
Phone (520) 784-6570
5545 E Broadway Blvd
Suite 113
Tucson, AZ 85711-3843
Phone (520) 372-2724
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034143 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aw Broadway and Craycroft, LLC | Physical Therapist | Current | Accepting new patients |
| Arenson Wasserbeck LLC | Physical Therapist | Current | Accepting new patients |
Locations
4850 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 396-2781
1370 N Silverbell Rd
Ste 160
Tucson, AZ 85745
Phone (520) 372-2724
5545 E Broadway Blvd
Ste 113
Tucson, AZ 85711
Phone (520) 372-2714
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.
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- NPI 1437193265
AZ
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- NPI 1114384203
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- Orthopaedic Surgery Physician
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- NPI 1154752905
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- Orthopaedic Surgery Physician
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- NPI 1285065029
-
- Orthopaedic Surgery Physician
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- NPI 1609328350
-
- Physical Therapist
- Tucson, AZ
- NPI 1588386494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1750171468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31630",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511630",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 N WYATT DR STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126102",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUNDSON",
"first_name": "PHILLIP",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-07",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "034143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.