Individual provider Active NPI

Phyllis Berkheimer

  • Physical Therapy Assistant
  • Tucson, AZ
National Provider Identifier
1770365652
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone
(520) 822-8640
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556

Mailing address

6750 Moonlit Dr
Delray Beach, FL 33446-1632
Phone (954) 821-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129

Organizations & group practices 1

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1770365652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 MOONLIT DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461632",
            "telephone_number": "954-821-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5393 S CALLE SANTA CRUZ STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063556",
            "telephone_number": "520-822-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKHEIMER",
        "first_name": "PHYLLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "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 Oct 16, 2023; 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.