Individual provider Active NPI

Tim Dunne, PT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1780638098
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3544 Issued in AZ
Practice address
750 N Estrella Pkwy
Suite 50
Goodyear, AZ 85338-9272
Phone
(623) 882-2992
Fax
(623) 935-4923
NPI assigned
May 20, 2006
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3544 AZ Primary

Addresses

Primary practice location

750 N Estrella Pkwy
Suite 50
Goodyear, AZ 85338-9272

Mailing address

750 N Estrella Pkwy
Suite 50
Goodyear, AZ 85338-9272
Phone (623) 882-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000144 AZ Practitioner - Physical Therapist in Private Practice 4183604556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Biomechanix Physical Therapy, PLCGroup PAC ID 3274615588, 4 clinicians

Practice addresses (Care Compare)

750 N Estrella Pkwy
Suite 50
Goodyear, AZ 85338-9279
Phone (623) 882-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Biomechanix Physical Therapy, PLC CurrentSince Feb 1, 2008 Accepting new patients
Spooner Rehab, PC Physical Therapist Past Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients

Locations

750 N Estrella Pkwy
Ste 50
Goodyear, AZ 85338
Phone (602) 451-8507

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1780638098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY",
            "address_2": "SUITE 50",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389272",
            "telephone_number": "623-882-2992",
            "fax_number": "623-925-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY",
            "address_2": "SUITE 50",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389272",
            "telephone_number": "623-882-2992",
            "fax_number": "623-935-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "TIM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.