Paul Henry Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

BL2007491 Issued in AZ

Legal business name

PAUL HENRY PHYSICAL THERAPY, LLC

Practice address

5325 E Pershing Ave
Scottsdale, AZ 85254-3627

Phone

(602) 380-6807

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tonya R Bratcher

Title

Administrator

Phone

(602) 380-6807

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CENTER FOR ATHLETIC PERFORMANCE & PHYSICAL THERAPY Doing business as

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1861520009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 E PERSHING AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543627",
            "telephone_number": "602-380-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 E PERSHING AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543627",
            "telephone_number": "602-380-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL HENRY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "BRATCHER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-380-6807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "BL2007491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080129",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRDICARE DME",
            "identifier": "6695510001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR ATHLETIC PERFORMANCE & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTER FOR ATHLETIC PERFORMANCE & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lukas Benjamin Patton
• Amanda Elizabeth Patz, CRNA
• Vicktoria Patzer, LMFT
• Paul Allen Physical Therapy, LLC
• Paul D. Douglas, DDS, PC
• Paul J Lynch MD PLLC
• Paul M Francis MD PC
• Paul W Sieckmann, MD, PC
• Paul William Soiya MD
• Dana M Paull, M.D.

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.