Agility Spine & Sports Physical Therapy and Rehabilitation LP
Organization Active NPI Physical Therapist · Tucson, AZ
NPI 1780401588 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1780401588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AGILITY SPINE & SPORTS PHYSICAL THERAPY AND REHABILITATION LP
- Practice address
- 3988 E Fort Lowell Rd
Tucson, AZ 85712-1010 - Phone
- (520) 488-5291
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Richard Binstein
- Title
- Evp
- Phone
- (713) 297-7000
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 6
Member of 1
Practitioners 29
-
Marissa Ann Fuhrman, DPT
-
Dorothy Alexandra Randall, PT, DPT
-
Alicia Allie, PT
-
Megan Bardach, PT
-
Chad Bolling Brinkman, PT, DPT
-
Savannah Carlson, PT, DPT
-
Roma Jane Casey, DPT
-
Cortino L Darden, DPT
-
Megan Dusenberry, D.P.T.
-
Katherine Hall, PT, DPT
-
Jacob Michael Jeppson, DPT, PT
-
Lucas A Johnston, DPT, PT
-
Rachel Locke, OTR/L
-
Emily Longoni, OTD, OTR/L
-
Katherine L McEwan, P.T.
-
Andrew Noble, PT, DPT
-
Stephanie Melissa Popelka, PHYSICAL THERAPIST
-
Philip W Porter, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170602001089 | AZ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9335416932 |
Receives reassigned benefits from 35 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ; Sierra Vista, AZ; Oro Valley, AZ |
| O20241204004451 | AZ | DME Supplier - Independently-Practicing Occupational Therapist |
9335416932 | Practice locations: Tucson, AZ |
National Provider Directory
- Tax ID family
- Agility Spine Sports Physical Therapy and Rehabilitation LP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Mailing address
2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 884-9819
Other providers in Tucson, AZ
- Agility Spine & Sports Physical Therapy & Rehabilitation LP
- Agility Spine & Sports Physical Therapy and Rehabilitation LP
- Agility Spine & Sports Physical Therapy and Rehabilitation LP
- Agility Spine & Sports Physical Therapy and Rehabilitation LP
- Agility Spine & Sports Physical Therapy and Rehabilitation LP
- Agility Spine & Sports Physical Therapy and Rehabilitation LP
- Agility Spine & Sports Physical Therapy and Rehabilitation LP
- Jody F Agins
- Agk Southwest, Inc.
- Beverly Reed Agnew
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.