NPIMap

Organization Active NPI

Exclusively Spine Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1780741116
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4405 Issued in AZ
Legal business name
EXCLUSIVELY SPINE PHYSICAL THERAPY, LLC
Practice address
7616 W Thunderbird Rd
Suite 104
Peoria, AZ 85381-6081
Phone
(623) 776-7577
Fax
(623) 776-7597
NPI assigned
Jan 3, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Ms. Melissa Jo Hourihan, D.P.T.NPI 1699832246
Title
Owner
Phone
(623) 776-7577

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)CodeLicenseStatePrimary
Physical Therapist 225100000X 4405 AZ Primary

Addresses

Primary practice location

7616 W Thunderbird Rd
Suite 104
Peoria, AZ 85381-6081

Mailing address

7616 W Thunderbird Rd
Suite 104
Peoria, AZ 85381-6081
Phone (623) 776-7577

Other identifiers 1

IdentifierTypeStateIssuer
4405OtherAZSTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1780741116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 W THUNDERBIRD RD",
            "address_2": "SUITE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816081",
            "telephone_number": "623-776-7577",
            "fax_number": "623-776-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 W THUNDERBIRD RD",
            "address_2": "SUITE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816081",
            "telephone_number": "623-776-7577",
            "fax_number": "623-776-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVELY SPINE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HOURIHAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-776-7577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4405",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.