NPIMap

Organization Active NPI

Ignite Physical Therapy PLC

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1861820508
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8637 Issued in AZ
Legal business name
IGNITE PHYSICAL THERAPY PLC
Practice address
3970 E Riggs Rd
Suite 1
Chandler, AZ 85249-5412
Phone
(480) 883-0202
Fax
(480) 883-0303
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Tara Poloni
Title
Office Manager
Phone
(480) 883-0202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8637 AZ Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3970 E Riggs Rd
Suite 1
Chandler, AZ 85249-5412

Mailing address

3970 E Riggs Rd
Suite 1
Chandler, AZ 85249-5412
Phone (480) 883-0202

Other practice location 1

4949 S Arizona Ave Ste 3
Chandler, AZ 85248-2714
Phone (480) 883-0202

Other practice location 2

3875 E Williams Field Rd Ste 205
Gilbert, AZ 85295-8700
Phone (480) 883-0202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140310002113 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931339041 Receives reassigned benefits from 10 practitioners
Practice locations: Chandler, AZ; Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

4949 S Arizona Ave
Ste 3
Chandler, AZ 85248
Phone (480) 883-0202

3875 E Williams Field Rd
Ste 205
Gilbert, AZ 85295
Phone (480) 883-0202

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1861820508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 S Arizona Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852482714",
            "country_code": "US",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3875 E Williams Field Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958700",
            "country_code": "US",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IGNITE PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "POLONI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-883-0202"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8637",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.