Active NPI
Southwest Therapy Services
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1770722787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5585
- Legal business name
- SOUTHWEST THERAPY SERVICES
- Practice address
- 11512 E Queensborough Ave
Mesa, AZ 85212-4091 - Phone
- (480) 951-6598
- NPI assigned
- Feb 13, 2009
- Last updated
- Feb 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daren T Povar, PT
- Title
- Admin
- Phone
- (480) 951-6598
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5585 | AZ | Primary |
Addresses
Primary practice location
11512 E Queensborough Ave
Mesa, AZ 85212-4091
Mailing address
11512 E Queensborough Ave
Mesa, AZ 85212-4091
Phone (480) 951-6598
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Mesa, AZ
- NPI 1447355649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234483200000",
"number": "1770722787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11512 E QUEENSBOROUGH AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852124091",
"telephone_number": "480-951-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11512 E QUEENSBOROUGH AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852124091",
"telephone_number": "480-951-6598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A",
"authorized_official_last_name": "POVAR",
"authorized_official_first_name": "DAREN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "480-951-6598",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Southwest Oral Myofunctional Specialists
- Southwest Orofacial Group, Inc.
- Southwest Prime Consulting Services (Premier Health Network)
- Southwest Spine & Rehab PLLC
- Southwest Sports Medicine & Orthopaedic Surgery Clinic
- Southwest Urgent Care, PLC. (McKellips Urgent Care)
- Southwestern Eye Center LTD
- Southwestern Eye Center LTD (Southwestern Eye Center-Falcon Field)
- Southwestern Eye Center LTD
- Southwestern Eye Center, LTD (Southwestern Eye Center - Main St Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.