Arizona Academy of Health and Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ARIZONA ACADEMY OF HEALTH AND PERFORMANCE LLC

Practice address

10815 W McDowell Rd
Ste 304
Avondale, AZ 85392-5007

Phone

(623) 433-0199

Fax

(623) 433-0198

NPI assigned

Aug 20, 2008

Last updated

Aug 26, 2008By 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

Lisa M Poormon, PTNPI 1023133964

Title

Managing Member

Phone

(623) 433-0199

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lisa M Poormon, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Avondale, AZ
  • NPI 1023133964
  NPD (past) Authorized official

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1861649998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD",
            "address_2": "STE 304",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925007",
            "telephone_number": "623-433-0199",
            "fax_number": "623-433-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD",
            "address_2": "STE 304",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925007",
            "telephone_number": "623-433-0199",
            "fax_number": "623-433-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ACADEMY OF HEALTH AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "POORMON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-433-0199",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian James Archambault, NMD
• Kaitlyn Archer
• Noemi Arellano
• Guadalupe Arguelles Mondaca
• Maria A Arias, RN
• Arizona Arthritis and Rheumatology Associates
• Arizona Autism United, Inc.
• Arizona College of Orthopedic Surgeons, PLLC
• Arizona Hired Hands LLC
• Arizona Imaging Center, LLC (Apricus Imaging Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.