Individual provider Active NPI

Brent A Marr, PT,DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1841690203
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11053PT Issued in AZ
Practice address
8820 E Broadway Blvd
Tucson, AZ 85710-4035
Phone
(520) 829-7741
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11053PT AZ Primary

Addresses

Primary practice location

8820 E Broadway Blvd
Tucson, AZ 85710-4035

Mailing address

15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 706-1161

Other practice location 1

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone (520) 225-0129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414002178 AZ Practitioner - Physical Therapist in Private Practice 5991023343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299

Merit-based Incentive Payment System (MIPS)

Final score
76.19 of 100Reported as individual
Quality
70
Improvement activities
40
Cost
75.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11053PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Dec 1, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation- Tucson, LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients

Locations (25 of 52)

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

3131 S Market St
Ste 109
Gilbert, AZ 85295

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

1055 N La Canada Dr
Ste 123
Green Valley, AZ 85614
Phone (520) 462-0439

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

706 E Bell Rd
Ste 121
Phoenix, AZ 85022
Phone (602) 313-4022

7000 N 16th St
Ste 150
Phoenix, AZ 85020

9250 W Thomas Rd
Ste 280
Phoenix, AZ 85037
Phone (602) 313-4227

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

333 E Osborn Rd
Ste 101
Phoenix, AZ 85012
Phone (602) 388-4026

3900 E Camelback Rd
Ste 185
Phoenix, AZ 85018
Phone (623) 233-8098

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1841690203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-706-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104035",
            "telephone_number": "520-829-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5393 S Calle Santa Cruz Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857063556",
            "country_code": "US",
            "telephone_number": "520-225-0129",
            "fax_number": "520-244-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARR",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11053PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.