Organization Active NPI

Metro Physical Therapy - Glendale, LLC

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1790735835
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
METRO PHYSICAL THERAPY - GLENDALE, LLC
Practice address
17431 N 71St Dr
Suite 104
Glendale, AZ 85308-8598
Phone
(623) 776-9111
Fax
(623) 776-9115
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Tonya Gibbs
Title
Managing Partner
Phone
(623) 776-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

17431 N 71St Dr
Suite 104
Glendale, AZ 85308-8598

Mailing address

17431 N 71St Dr
Suite 104
Glendale, AZ 85308-8598
Phone (623) 776-9111

Other names 1

  • Metro Physical Therapy Arrowhead, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1790735835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17431 N 71ST DR",
            "address_2": "SUITE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088598",
            "telephone_number": "623-776-9111",
            "fax_number": "623-776-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17431 N 71ST DR",
            "address_2": "SUITE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088598",
            "telephone_number": "623-776-9111",
            "fax_number": "623-776-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PHYSICAL THERAPY - GLENDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "623-776-9111"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Physical Therapy Arrowhead, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.