NPIMap

Organization Active NPI

Spooner Physical Therapy & Hand Rehab, PC

Doing business as Spooner Lake Pleasant

  • Physical Therapy Clinic/Center
  • Peoria, AZ
National Provider Identifier
1871264242
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Doing business as
Spooner Lake Pleasant
Practice address
26900 N Lake Pleasant Pkwy # 120
Peoria, AZ 85383-1394
Phone
(623) 400-9100
Fax
(623) 400-9101
NPI assigned
Sep 24, 2021
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPOONER PHYSICAL THERAPY & HAND REHAB PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Timothy A Spooner, PT
Title
President
Phone
(480) 551-4958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

26900 N Lake Pleasant Pkwy # 120
Peoria, AZ 85383-1394

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (623) 400-9100

Other names 1

  • SPOONER LAKE PLEASANT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spooner Physical Therapy16 organizations share this tax ID, including this one
Part of
Spooner Physical Therapy

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1626 N Litchfield Rd
Ste 310
Goodyear, AZ 85395
Phone (623) 680-0036

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1871264242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "623-400-9100",
            "fax_number": "623-400-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY # 120",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831394",
            "telephone_number": "623-400-9100",
            "fax_number": "623-400-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOONER PHYSICAL THERAPY & HAND REHAB PC",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-551-4958",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOONER LAKE PLEASANT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPOONER LAKE PLEASANT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.