Bar Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BAR PHYSICAL THERAPY LLC

Practice address

3830 E Ray Rd
Phoenix, AZ 85044-7158

Phone

(480) 770-0752

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By 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

Wesley DesrosierNPI 1952126955

Title

Co-Owner

Phone

(623) 252-8433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley Desrosier

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1952126955
  Medicare reassignment NPD Authorized official
• Connor Cantu, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871339846
  NPD

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1831914837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18429 W WHISPERING WIND DR",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853615445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 E RAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447158",
            "telephone_number": "480-770-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "DESROSIER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "623-252-8433"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edian Banuelos
• Jason Banuelos, PA
• Paige Banyas, DO
• Cesar Joshua Baptiste
• Mohammad Wisam Baqdunes, M.D.
• Stephania Alejandra Barahona Frias, RDH
• Liliana Barajas Bejar
• Crystal Barajas, SLP
• Risa Bridget Barajas, R.N.
• Baraka House

• Physical Therapy Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.