Active NPI
Roxanne Marie Pincombe, PT
- Orthopedic Physical Therapist
- Oro Valley, AZ
National Provider Identifier
1780695767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 7473
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 535050 | Other | IL | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-002081 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Healthcare of Arizona,LLC. | Past | Accepting new patients | |
| Physical Therapy Center LTD | Orthopedic | Past | 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.
-
- Cardiopulmonary Physical Therapist
- Bullhead City, AZ
- NPI 1477786226
-
dba Paragon Healthcare of Arizona, LLC
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1538694104
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.