Individual provider Active NPI

Larry R Brimhall, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1760735120
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9846 Issued in AZ
Practice address
5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490
Phone
(480) 272-7797
Fax
(480) 704-3903
NPI assigned
Oct 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 9846 AZ Primary

Addresses

Primary practice location

5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490

Mailing address

PO Box 269084
Oklahoma City, OK 73126-9084
Phone (623) 398-8072

Other practice location 1

235 S Dobson Rd
3
Chandler, AZ 85224-6229
Phone (480) 222-0655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140506001565 AZ Practitioner - Physical Therapist in Private Practice 6305079997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovia Physical Therapy LLCGroup PAC ID 4880949148, 20 clinicians
Roc Physical Therapy, PLLCGroup PAC ID 6204195316, 5 clinicians

Practice addresses (Care Compare)

2411 W Northern Ave
Suite 201
Phoenix, AZ 85021-4874
Phone (480) 712-4600

5656 S Power Rd
Suite 139
Gilbert, AZ 85295-8490
Phone (480) 272-7797

Merit-based Incentive Payment System (MIPS)

Final score
17.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Physical Therapy Physical Therapist CurrentSince Feb 8, 2018 Accepting new patients
Recovia Physical Therapy, LLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients
Recovia LLC Past Accepting new patients

Locations

18301 N 79th Ave
Ste B122
Glendale, AZ 85308
Phone (623) 486-3333

2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200

Organizations & group practices 6

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1760735120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269084",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269084",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "480-272-7797",
            "fax_number": "480-704-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 S Dobson Rd",
            "address_2": "3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246229",
            "country_code": "US",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIMHALL",
        "first_name": "LARRY",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.