Organization Active NPI

Tensegrity Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1760156848
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TENSEGRITY PHYSICAL THERAPY AND WELLNESS LLC
Practice address
5501 N Oracle Rd Ste 101
Tucson, AZ 85704-3850
Phone
(520) 243-0518
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Michaela Patrice Gaither, DPTNPI 1508097254
Title
Physical Therapist/Managing Member
Phone
(520) 243-0518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5501 N Oracle Rd Ste 101
Tucson, AZ 85704-3850

Mailing address

1390 E Placita Mapache
Tucson, AZ 85718-3929
Phone (520) 243-0518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211015001570 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567860950 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1760156848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E PLACITA MAPACHE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183929",
            "telephone_number": "520-243-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N ORACLE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043850",
            "telephone_number": "520-243-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENSEGRITY PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "GAITHER",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "520-243-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.