Individual provider Active NPI

Steven M Peery, PT, MPT

  • Physical Therapist
  • Avondale, AZ
National Provider Identifier
1871566109
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6896 Issued in AZ
Practice address
10815 W McDowell Rd
Suite 203
Avondale, AZ 85392-5007
Phone
(623) 907-4400
Fax
(623) 907-4610
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 6896 AZ Primary

Addresses

Primary practice location

10815 W McDowell Rd
Suite 203
Avondale, AZ 85392-5007

Mailing address

3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804
Phone (623) 935-0626

Other identifiers 1

IdentifierTypeStateIssuer
146633MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000292 AZ Practitioner - Physical Therapist in Private Practice 6204857279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vita Artes Therapy Services LLCGroup PAC ID 6608378252, 2 clinicians

Practice addresses (Care Compare)

Surprise, AZ 85379
Phone (401) 499-9403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6896AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Artes Therapy Services LLC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1871566109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N LITCHFIELD RD",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957804",
            "telephone_number": "623-935-0626",
            "fax_number": "623-935-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD",
            "address_2": "SUITE 203",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925007",
            "telephone_number": "623-907-4400",
            "fax_number": "623-907-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERY",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.