Paradise Valley Physical Therapy, PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3297 Issued in AZ

Legal business name

PARADISE VALLEY PHYSICAL THERAPY, PLC

Practice address

4550 E Bell Rd
BLDG 8 Ste 270
Phoenix, AZ 85032-2159

Phone

(602) 424-0494

Fax

(602) 424-0493

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregg W Potter, PT

Title

Owner Director

Phone

(602) 424-0494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811108541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "BLDG 8 STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322158",
            "telephone_number": "602-424-0494",
            "fax_number": "602-424-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "BLDG 8 STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322159",
            "telephone_number": "602-424-0494",
            "fax_number": "602-424-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "602-424-0494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Valley Heart and Rhythm, PLLC (Paradise Valley Heart and Rhythm)
• Paradise Valley Hospice Inc
• Paradise Valley Loving Care (Paradise Valley Loving Care LLC)
• Paradise Valley Medical Group
• Paradise Valley Pain and Wellness, PLLC
• Paradise Valley Premier Care LLC
• Paradise Valley Smiles LLC
• Paradise Valley Surgery Center
• Paradise Valley Unified School District
• Paragon Chiropractic Inc

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.