Organization Active NPI

Achieve Physical Therapy of Arizona, PLLC

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1811226103
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8768 Issued in AZ
Legal business name
ACHIEVE PHYSICAL THERAPY OF ARIZONA, PLLC
Practice address
17235 N 75TH Ave
Suite 135
Glendale, AZ 85308
Phone
(602) 314-2747
Fax
(602) 314-2748
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
David Eli Hawkins, PT
Title
Owner
Phone
(623) 201-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8768 AZ Primary

Addresses

Primary practice location

17235 N 75TH Ave
Suite 135
Glendale, AZ 85308

Mailing address

17235 N 75TH Ave Ste E145
Glendale, AZ 85308-0867
Phone (623) 201-7210

National Provider Directory

National Provider Directory

Locations

17235 N 75th Ave
Ste E145
Glendale, AZ 85308
Phone (623) 201-7210

17235 N 75th Ave
Ste 135
Glendale, AZ 85308
Phone (602) 314-2747

6040 S Rainbow Blvd
Ste B
Las Vegas, NV 89118

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1811226103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE E145",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080867",
            "telephone_number": "623-201-7210",
            "fax_number": "623-201-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE",
            "address_2": "SUITE 135",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-314-2747",
            "fax_number": "602-314-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PHYSICAL THERAPY OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-201-7210",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2018; 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.