Organization Active NPI

Semken Physical Therapy

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1891551628
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SEMKEN PHYSICAL THERAPY
Practice address
1345 E McKellips Rd Ste 101
Mesa, AZ 85203-2721
Phone
(480) 542-1046
Fax
(602) 429-8491
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Alisson Adriana Semken
Title
Secretary
Phone
(480) 542-1046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1345 E McKellips Rd Ste 101
Mesa, AZ 85203-2721

Mailing address

1345 E McKellips Rd Ste 101
Mesa, AZ 85203-2721
Phone (480) 542-1046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240427001873 AZ Part B Supplier - Clinic/Group Practice 3072953827 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1345 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 542-1046

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": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1891551628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E MCKELLIPS RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032721",
            "telephone_number": "480-542-1046",
            "fax_number": "602-429-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MCKELLIPS RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032721",
            "telephone_number": "480-542-1046",
            "fax_number": "602-429-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMKEN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SEMKEN",
        "authorized_official_first_name": "ALISSON",
        "authorized_official_middle_name": "ADRIANA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "480-542-1046"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.