NPIMap

Organization Active NPI

Phoenix Physical Therapy

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1881317576
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHOENIX PHYSICAL THERAPY
Practice address
1145 19TH St NW Ste 409
Washington, DC 20036-3716
Phone
(202) 571-6891
Fax
(202) 952-0381
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Melanie Redfern
Title
Credentialing Specialist
Phone
(412) 567-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1145 19TH St NW Ste 409
Washington, DC 20036-3716

Mailing address

2000 Westinghouse Dr Ste 200
Cranberry Township, PA 16066-5238
Phone (412) 567-2400

National Provider Directory

National Provider Directory
Tax ID family
Progressive Physical Therapy LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1881317576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "412-567-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 409",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363716",
            "telephone_number": "202-571-6891",
            "fax_number": "202-952-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "REDFERN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "412-567-2400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.