Individual provider Active NPI

Roxanne Marie Pincombe, PT

  • Orthopedic Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1780695767
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7473 Issued in AZ
Practice address
10355 N la Canada Dr
Suite 125
Oro Valley, AZ 85737-7305
Phone
(520) 822-8640
Fax
(520) 822-8641
NPI assigned
Aug 11, 2006
Last updated
Jan 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070-002081 IL
Orthopedic Physical Therapist 2251X0800X 7473 AZ Primary

Addresses

Primary practice location

10355 N la Canada Dr
Suite 125
Oro Valley, AZ 85737-7305

Mailing address

PO Box 6570
Peoria, AZ 85385-6570
Phone (623) 398-8072

Other identifiers 1

IdentifierTypeStateIssuer
535050OtherILMEDICARE ID TYPE UNSPECIFIED

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-002081ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Healthcare of Arizona,LLC. PastSince Mar 5, 2012 Accepting new patients
Physical Therapy Center LTD Orthopedic PastSince Apr 21, 1993 Accepting new patients
Paragon Physical Therapy and Rehab, LLC Past Accepting new patients

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1780695767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6570",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853856570",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10355 N LA CANADA DR",
            "address_2": "SUITE 125",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377305",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCOMBE",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070-002081",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "7473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "535050",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.