Northern Arizona Physical Therapy Services PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

Z146505 Issued in AZ

Legal business name

NORTHERN ARIZONA PHYSICAL THERAPY SERVICES PLLC

Practice address

2530 W State Route 89a
B-1
Sedona, AZ 86336-5256

Phone

(928) 282-3950

Fax

(928) 282-6990

NPI assigned

Mar 15, 2011

Last updated

Sep 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marijke SchupackNPI 1164524914

Title

Member

Phone

(928) 301-1977

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Marijke Schupack, PT

  • Physical Therapist
  • Sedona, AZ
  • NPI 1164524914
  NPD (past) Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1881993996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W STATE ROUTE 89A",
            "address_2": "B-1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365256",
            "telephone_number": "928-282-3950",
            "fax_number": "928-282-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W STATE ROUTE 89A",
            "address_2": "B-1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365256",
            "telephone_number": "928-282-3950",
            "fax_number": "928-282-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA PHYSICAL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "SCHUPACK",
        "authorized_official_first_name": "MARIJKE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-301-1977"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "Z146505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Healthcare
• Northern Arizona Healthcare Corporation (Northern Arizona Healthcare Medical Group-Sedona)
• Northern Arizona Healthcare Corporation (Northern Arizona Healthcare Medical Group - Village of Oak Creek)
• Northern Arizona Med-Psych Clinic, PLLC (Nampc, PLLC)
• Northern Arizona Physical Therapy
• Northern Arizona Radiation Oncology
• Margaret M. O'Connor, ED.D.
• Oak Creek Chiropractic PC
• Daniel Olson, D.C.
• Omega Geriatrics Co. Inc

• Physical Therapy Clinic/Center in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.