Individual provider Active NPI

Tad Pieczynski

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1780755108
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6569 Issued in AZ
Practice address
10121 E Bell Road
Suite 140
Scottsdale, AZ 85260-2187
Phone
(480) 419-3500
Fax
(480) 419-3522
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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 6569 AZ Primary

Addresses

Primary practice location

10121 E Bell Road
Suite 140
Scottsdale, AZ 85260-2187

Mailing address

PO Box 18607
Fountain Hills, AZ 85269-8607
Phone (480) 419-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228001361 AZ Practitioner - Physical Therapist in Private Practice 5193083996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

7400 N Dobson Rd
Suite 103
Scottsdale, AZ 85256-2769
Phone (602) 613-9133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6569AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Sep 25, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Sep 25, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Rehab Plus Orthopedics, LLC Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

9917 N 95th St
Scottsdale, AZ 85258
Phone (480) 205-4227

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1780755108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18607",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852698607",
            "telephone_number": "480-419-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 E BELL ROAD",
            "address_2": "SUITE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602187",
            "telephone_number": "480-419-3500",
            "fax_number": "480-419-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECZYNSKI",
        "first_name": "TAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.