NPIMap

Organization Active NPI

Summit Therapy LLC

Doing business as Summit Therapy Group

  • Rehabilitation Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1811227093
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SUMMIT THERAPY LLC
Doing business as
Summit Therapy Group
Practice address
7310 N 16TH St Ste 100
Phoenix, AZ 85020-5259
Phone
(602) 535-8255
Fax
(602) 535-8254
NPI assigned
Jan 11, 2010
Organization subpart
Yes
Parent organization
KCINEL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Andrew Lenick
Title
President / Administrator
Phone
(602) 535-8255

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X AZ
In Home Supportive Care Agency 253Z00000X
Physical Therapy Clinic/Center 261QP2000X AZ
Rehabilitation Clinic/Center 261QR0400X AZ Primary
Occupational Medicine Clinic/Center 261QX0100X AZ

Addresses

Primary practice location

7310 N 16TH St Ste 100
Phoenix, AZ 85020-5259

Mailing address

7310 N 16TH St Ste 100
Phoenix, AZ 85020-5258
Phone (602) 535-8255

Other names 1

  • Summit Therapy Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000930 AZ Part B Supplier - Clinic/Group Practice 9436288636 Receives reassigned benefits from 20 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

7310 N 16th St
Ste 100
Phoenix, AZ 85020

10025 W Royal Oak Rd
Ste 100
Sun City, AZ 85351
Phone (623) 815-4156

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1811227093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205258",
            "telephone_number": "602-535-8255",
            "fax_number": "602-535-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205259",
            "telephone_number": "602-535-8255",
            "fax_number": "602-535-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KCINEL LLC",
        "enumeration_date": "2010-01-11",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "LENICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT / ADMINISTRATOR",
        "authorized_official_telephone_number": "602-535-8255"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.