Procare Physical Therapy 2 Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10051 Issued in AZ

Legal business name

PROCARE PHYSICAL THERAPY 2 INC

Practice address

9860 S Estrella Pkwy Ste B105
Goodyear, AZ 85338-7149

Phone

(623) 594-5473

Fax

(623) 594-5479

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Lawrence Shauf, PHYSICAL THERAPIST

Title

Designated Signature

Phone

(623) 594-5473

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1861997231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 S ESTRELLA PKWY STE B105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387149",
            "telephone_number": "623-594-5473",
            "fax_number": "623-594-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 S ESTRELLA PKWY STE B105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387149",
            "telephone_number": "623-594-5473",
            "fax_number": "623-594-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PHYSICAL THERAPY 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "SHAUF",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DESIGNATED SIGNATURE",
        "authorized_official_telephone_number": "623-594-5473",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.