Individual provider Active NPI

Cecil E Neal, PT

  • Orthopaedic Surgery Physician
  • Glendale, AZ
National Provider Identifier
1861693939
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1029 Issued in AZ
Practice address
6320 W Union Hills Dr
Suite B1800
Glendale, AZ 85308-1096
Phone
(602) 277-6211
Fax
(866) 242-5309
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1029 AZ
Orthopaedic Surgery Physician 207X00000X 1029 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr
Suite B1800
Glendale, AZ 85308-1096

Mailing address

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4872
Phone (602) 277-6211

Other identifiers 2

IdentifierTypeStateIssuer
782012MedicaidAZ
1029OtherAZLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001560 AZ Practitioner - Physical Therapist in Private Practice 4486640612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

18700 N 64th Dr
Ste 210
Glendale, AZ 85308
Phone (602) 512-8623

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

18700 N 64th Dr
Ste 205B
Glendale, AZ 85308

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 5

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1861693939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-6211",
            "fax_number": "866-242-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "SUITE B1800",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "602-277-6211",
            "fax_number": "866-242-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "CECIL",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "1029",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "782012",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.