NPIMap

Organization Active NPI

Desert Palms Physical Therapy- Catalina PC

  • Physical Therapist
  • San Manuel, AZ
National Provider Identifier
1821328030
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6475 Issued in AZ
Legal business name
DESERT PALMS PHYSICAL THERAPY- CATALINA PC
Practice address
23 McNab Parkway
San Manuel, AZ 85631
Phone
(520) 385-4066
Fax
(520) 385-4132
NPI assigned
Jan 11, 2010
Organization subpart
Yes
Parent organization
DESERT PALMS PHYSICAL THERAPY CATALINA P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Mr. Kevin S Eggers, M.P.T.
Title
Physical Therapist/Owner
Phone
(520) 818-3856

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 6475 AZ Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 8748 AZ
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 2987 AZ

Addresses

Primary practice location

23 McNab Parkway
San Manuel, AZ 85631

Mailing address

PO Box 8758
Tucson, AZ 85738-0758
Phone (520) 385-4066

Other identifiers 1

IdentifierTypeStateIssuer
283767MedicaidAZ

National Provider Directory

National Provider Directory
Part of
Desert Palms PT Catalina PC

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1530576000000",
    "number": "1821328030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8758",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857380758",
            "telephone_number": "520-385-4066",
            "fax_number": "520-818-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MCNAB PARKWAY",
            "city": "SAN MANUEL",
            "state": "AZ",
            "postal_code": "85631",
            "telephone_number": "520-385-4066",
            "fax_number": "520-385-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PALMS PHYSICAL THERAPY- CATALINA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT PALMS PHYSICAL THERAPY CATALINA P.C.",
        "enumeration_date": "2010-01-11",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "EGGERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "520-818-3856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6475",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8748",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283767",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Manuel, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.