NPIMap

Organization Active NPI

Southwest Therapy Specialists, P.C.

  • Orthopedic Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1871647289
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SOUTHWEST THERAPY SPECIALISTS, P.C.
Practice address
7540 N 19TH Ave
Ste 101
Phoenix, AZ 85021-7967
Phone
(602) 249-9129
Fax
(602) 249-4115
NPI assigned
Jan 22, 2007
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Ms. Susan M Stockdell, O.T.R.L,C.H.T.NPI 1043249733
Title
President
Phone
(602) 249-9129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X NU
Orthopedic Physical Therapist 2251X0800X NU Primary
Hand Occupational Therapist 225XH1200X 0382 AZ

Addresses

Primary practice location

7540 N 19TH Ave
Ste 101
Phoenix, AZ 85021-7967

Mailing address

7540 N 19TH Ave
Ste 101
Phoenix, AZ 85021-7967
Phone (602) 249-9129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000774 AZ Part B Supplier - Clinic/Group Practice 6800888553 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

4015 E Bell Rd
Ste 132
Phoenix, AZ 85032
Phone (602) 867-2606

5501 N 19th Ave
Ste 301
Phoenix, AZ 85015

6036 N 19th Ave
Ste 205
Phoenix, AZ 85015
Phone (602) 249-2841

7540 N 19th Ave
Ste 101
Phoenix, AZ 85021
Phone (602) 249-9129

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1871647289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 N 19TH AVE",
            "address_2": "STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217967",
            "telephone_number": "602-249-9129",
            "fax_number": "602-249-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 N 19TH AVE",
            "address_2": "STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217967",
            "telephone_number": "602-249-9129",
            "fax_number": "602-249-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST THERAPY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "STOCKDELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-249-9129",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.T.R.L,C.H.T."
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "0382",
            "primary": false
        }
    ],
    "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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.