NPIMap

Organization Active NPI

Canyon Physical Therapy, Inc.

  • Specialist
  • Surprise, AZ
National Provider Identifier
1871530774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5904 Issued in AZ
Legal business name
CANYON PHYSICAL THERAPY, INC.
Practice address
16968 W Bell Rd
Building D Suite 401
Surprise, AZ 85374-8946
Phone
(623) 537-9108
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Micheal Gilbert, D.P.T.
Title
Owner/Ceo
Phone
(623) 537-9108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5904 AZ Primary

Addresses

Primary practice location

16968 W Bell Rd
Building D Suite 401
Surprise, AZ 85374-8946

Mailing address

16968 W Bell Rd
Building D Suite 401
Surprise, AZ 85374-8946

National Provider Directory

National Provider Directory

Locations

16968 W Bell Rd
Ste 401
Surprise, AZ 85374
Phone (623) 374-2910

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871530774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD",
            "address_2": "BUILDING D SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD",
            "address_2": "BUILDING D SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748946",
            "telephone_number": "623-537-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "623-537-9108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.