Organization Active NPI

Corrective Physical Therapy and Sports Performance LLC

  • Physical Therapy Clinic/Center
  • Sun City, AZ
National Provider Identifier
1881365161
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORRECTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Practice address
18700 N 107TH Ave Ste 8
Sun City, AZ 85373-9759
Phone
(602) 615-0624
NPI assigned
Sep 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Matthew Brown, DPTNPI 1376195354
Title
Owner/Physical Therapist
Phone
(602) 615-0624

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

18700 N 107TH Ave Ste 8
Sun City, AZ 85373-9759

Mailing address

1011 W McLellan Rd
Mesa, AZ 85201-2038

National Provider Directory

National Provider Directory

Locations

18700 N 107th Ave
Ste 8
Peoria, AZ 85373
Phone (602) 615-0624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1881365161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W MCLELLAN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 107TH AVE STE 8",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853739759",
            "telephone_number": "602-615-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-615-0624",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.