NPIMap

Organization Active NPI

Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1851490627
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
NOT REQUIRED Issued in AZ
Legal business name
ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Practice address
14557 W Indian School Rd
# 500
Goodyear, AZ 85395-9243
Phone
(623) 242-6908
Fax
(623) 242-6909
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Ryann P Roberts, DPTNPI 1760581557
Title
Owner/Member/Physical Therapist
Phone
(623) 242-6908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NOT REQUIRED AZ Primary

Addresses

Primary practice location

14557 W Indian School Rd
# 500
Goodyear, AZ 85395-9243

Mailing address

14557 W Indian School Rd
# 500
Goodyear, AZ 85395-9243
Phone (623) 242-6908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061115000299 AZ Part B Supplier - Clinic/Group Practice 9638177272 Receives reassigned benefits from 28 practitioners
Practice locations: Buckeye, AZ; Gilbert, AZ; Glendale, AZ; Goodyear, AZ; Prescott, AZ

National Provider Directory

National Provider Directory
Tax ID family
Arizona Orthopedic PT6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260

23476 N Sundance Pkwy
Buckeye, AZ 85326

14535 W Indian School Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 734-5544

14557 W Indian School Rd
Ste 500B
Goodyear, AZ 85395

14545 W Indian School Rd
#900
Goodyear, AZ 85395

14557 W Indian School Rd
#500
Goodyear, AZ 85395
Phone (203) 525-7309

14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808

2650 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 263-1010

9364 E Raintree Dr
Ste 109
Scottsdale, AZ 85260
Phone (480) 661-1124

1700 E Elliot Rd
Ste 16
Tempe, AZ 85284
Phone 6232426908241

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1851490627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD",
            "address_2": "# 500",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD",
            "address_2": "# 500",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RYANN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/MEMBER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-242-6908",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.