Active NPI
Michelle R. Pipke, B.S. P. T.
- Specialist
- Surprise, AZ
National Provider Identifier
1811042914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2536
- Practice address
- 17999 W. Surprise Farms Loop South
Surprise, AZ 85388 - Phone
- (623) 876-7388
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2536 | AZ | Primary |
Addresses
Primary practice location
17999 W. Surprise Farms Loop South
Surprise, AZ 85388
Mailing address
3637 W Charleston Ave
Glendale, AZ 85308-2808
Phone (602) 561-5213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2536 | Other | AZ | PT LICENSE NUMBER |
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)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Killeen Therapy Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Practitioner
- Glendale, AZ
- NPI 1164455531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811042914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 W CHARLESTON AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853082808",
"telephone_number": "602-561-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17999 W. SURPRISE FARMS LOOP SOUTH",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85388",
"telephone_number": "623-876-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPKE",
"first_name": "MICHELLE",
"middle_name": "R.",
"credential": "B.S. P. T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "2536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "2536",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.