Active NPI
Cristian Enrique De la Cruz, PT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31608
- Practice address
- 3601 W Cortaro Farms Rd Ste 155
Tucson, AZ 85742-8674 - Phone
- (520) 355-7892
- NPI assigned
- Feb 5, 2021
- Last updated
- Jul 8, 2024
- 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 | LPT-31608 | AZ | Primary |
Addresses
Primary practice location
3601 W Cortaro Farms Rd Ste 155
Tucson, AZ 85742-8674
Mailing address
9884 N Havenwood Way
Marana, AZ 85653-8904
Phone (520) 904-0924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
Practice addresses (Care Compare)
3601 W Cortaro Farms Rd
Suite 155
Tucson, AZ 85742-8674
Phone (520) 325-4002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodycentral Physical Therapy P C | Current | Accepting new patients | |
| Bodycentral Physical Therapy PC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454
3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274
3601 W Cortaro Farms Rd
Tucson, AZ 85742
3601 W Cortaro Farms Rd
Ste 155
Tucson, AZ 85742
Phone (520) 355-7892
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1629057930
-
- Customized Equipment (DME)
- Tucson, AZ
- NPI 1780899369
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1023619632
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1760074363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9884 N HAVENWOOD WAY",
"city": "MARANA",
"state": "AZ",
"postal_code": "856538904",
"telephone_number": "520-904-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W CORTARO FARMS RD STE 155",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857428674",
"telephone_number": "520-355-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "CRISTIAN",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-05",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31608",
"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 Jul 8, 2024; 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.