Individual provider Active NPI

Phillip Thomas Edmundson

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1750171468
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034143 Issued in AZ
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

Updated by the provider on Apr 13, 2026

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 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 IDStateProvider typePAC IDDetails
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 LLC 10 clinicians
Tucson Orthopaedic Institute Professional Corporation 108 clinicians

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

LicenseStateTypeSpecialty
034143AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aw Broadway and Craycroft, LLC Physical Therapist CurrentSince Apr 19, 2025 Accepting new patients
Arenson Wasserbeck LLC Physical Therapist CurrentSince Apr 19, 2025 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.

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.

Verify at the official NPI Registry.