Canyon Physical Therapy Surprise LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

CANYON PHYSICAL THERAPY SURPRISE LLC

Practice address

16968 W Bell Rd Ste 401
Surprise, AZ 85374-8943

Phone

(623) 374-2910

NPI assigned

Aug 24, 2017

Organization subpart

Yes

Parent organization

CANYON PHYSICAL THERAPY, INC.As reported in NPPES

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

Authorized official

Name

Scott Gilbert, PT, DPT

Title

Owner / Ceo

Phone

(623) 374-2910

Specialties & licenses 1

Addresses

Part of

Canyon Physical Therapy Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Canyon Physical Therapy, Inc.

  • Specialist
  • Surprise, AZ
  • NPI 1871530774
  NPPES parent name

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891212460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD BLD D SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-374-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD STE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748943",
            "telephone_number": "623-374-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON PHYSICAL THERAPY SURPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANYON PHYSICAL THERAPY, INC.",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "623-374-2910",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria L Cannoles, LMT
• Cynthia Rae Cannon
• Lori Cannon, NP-C
• Canyon Modern Dentistry & Orthodontics
• Canyon Modern Dentistry, LLP
• Canyon Physical Therapy, Inc.
• Genevieve Cappello
• Karla Carbajal
• Kim Irene Carbajal, RDH
• Kelli Cardi

• Physical Therapy Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.