Active NPI
Achieve Physical Therapy of Arizona, PLLC
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1811226103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8768
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.