Santa Rita Outpatient Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OTC5362 Issued in AZ

Legal business name

SANTA RITA OUTPATIENT THERAPY LLC

Practice address

170 N la Canada Dr
Suite 20
Green Valley, AZ 85614-3141

Phone

(520) 352-3049

Fax

(520) 625-2871

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Carl Zimmerman

Title

Owner/Senior Vice President

Phone

(520) 352-3019

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1760816375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N LA CANADA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143129",
            "telephone_number": "520-625-0178",
            "fax_number": "520-625-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N LA CANADA DR",
            "address_2": "SUITE 20",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143141",
            "telephone_number": "520-352-3049",
            "fax_number": "520-625-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA RITA OUTPATIENT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER/SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "520-352-3019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTC5362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Cruz Valley Physician Group LLC
• Santa Rita Care Center LLC
• Santa Rita Care Center, LLC
• Santa Rita Fire District
• Santa Rita Home Health, LLC
• Chhama Sarawagi, D.D.S.
• Randi Irene Schmeling, ANP
• Alexia Schou, NP
• Melissa Schuberg, DPT
• Thomas P Schuh, DMD

• Physical Therapy Clinic/Center in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.