Individual provider Active NPI

Connor Cantu, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1871339846
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033663 Issued in AZ
Practice address
3830 E Ray Rd
Phoenix, AZ 85044-7158
Phone
(480) 770-0752
Fax
(480) 546-3554
NPI assigned
Jul 8, 2024
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-033663 AZ Primary

Addresses

Primary practice location

3830 E Ray Rd
Phoenix, AZ 85044-7158

Mailing address

3830 E Ray Rd
Phoenix, AZ 85044-7158
Phone (480) 770-0752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033663AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waits Physical Therapy LLC Physical Therapist CurrentSince Jul 4, 2024 Accepting new patients
Bar Physical Therapy LLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

15905 S 46th St
Ste 140
Phoenix, AZ 85048
Phone (480) 805-8304

3830 E Ray Rd
Phoenix, AZ 85044
Phone (480) 770-0752

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1871339846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 E RAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447158",
            "telephone_number": "480-770-0752",
            "fax_number": "480-546-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 E RAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447158",
            "telephone_number": "480-770-0752",
            "fax_number": "480-546-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "CONNOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.