Camp Verde Physical Rehabiltation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2149 Issued in AZ

Legal business name

CAMP VERDE PHYSICAL REHABILTATION

Practice address

522 West Finney Flats Rd, Suite D
Camp Verde, AZ 86322

Phone

(928) 567-0987

Fax

(928) 567-5562

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Vivian M Pace, MPTNPI 1790887255

Title

Owner

Phone

(928) 567-0987

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Vivian M Pace, MPT

  • Physical Therapy Clinic/Center
  • Camp Verde, AZ
  • NPI 1790887255
  NPD (past) Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891898177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3748",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863223748",
            "telephone_number": "928-567-0987",
            "fax_number": "928-567-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 WEST FINNEY FLATS RD, SUITE D",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-567-0987",
            "fax_number": "928-567-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP VERDE PHYSICAL REHABILTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-567-0987",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "2149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131904",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadine Bunt, PHARMD
• Martha Leticia Caballero-Monrreal
• Camp Verde Family Chiropractic & Wellness Center Inc.
• Camp Verde Family Health LLC
• Camp Verde Fire District
• Camp Verde Unified School District #28
• David E Castillo, PT, MPT, AT/L
• Sonia Maria Castrita
• Central Arizona Sports and Physical Therapy, LLC (Central Arizona Sports and Physical Therapy)
• Central Arizona Therapy LLC (Central AZ Therapy)

• Physical Therapy Clinic/Center in Camp Verde, AZ
• Providers in Camp Verde, 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 Aug 22, 2020; 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.