Skyline Physical Therapy, Aquatics and Rehab Specialists

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5823 Issued in AZ

Legal business name

SKYLINE PHYSICAL THERAPY, AQUATICS AND REHAB SPECIALISTS

Practice address

5761 E Brown Rd
Suite 2a
Mesa, AZ 85205-4400

Phone

(877) 474-3424

Fax

(480) 984-5750

NPI assigned

Aug 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott J. Woffinden, MSPT

Title

Co Owner

Phone

(877) 474-3424

Specialties & licenses 1

Addresses

Tax ID family

Skyline Physical Therapy Aquatics and Rehab Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skyline Physical Therapy, Aquatics and Rehab Specialists

  • Physical Therapist
  • Mesa, AZ
  • NPI 1447266101
  NPD tax ID

Locations

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770590671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 30TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "877-552-2996",
            "fax_number": "262-657-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 E BROWN RD",
            "address_2": "SUITE 2A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054400",
            "telephone_number": "877-474-3424",
            "fax_number": "480-984-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PHYSICAL THERAPY, AQUATICS AND REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOFFINDEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "877-474-3424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sky Hospice Inc (Arizona Life Hospice - Maricopa)
• Sky King Development LLC
• Skybridge Harmony Homes
• Skylimit Solutions LLC
• Skyline Physical Therapy, Aquatics and Rehab Specialists
• SL Holdings LLC (Lawson Family Medicine)
• Andrea J Slabaugh, O.T.
• Slade Inspirations LLC
• Audrey A Slade
• Madilyn Sue Slade, PT

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.