Active NPI
Elizabeth Ann McNabb, DPT
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1891970216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-01025
- Practice address
- 3530 S Val Vista Dr Ste B205
Gilbert, AZ 85297-7318 - Phone
- (602) 933-7528
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2162 | NV | |
| Physical Therapist | 225100000X | 35726 | CA | |
| Physical Therapist | 225100000X | 013642 | OH | |
| Orthopedic Physical Therapist | 2251X0800X | 10205 | AZ | |
| Physical Therapist | 225100000X | LPT-01025 | AZ | Primary |
Addresses
Primary practice location
3530 S Val Vista Dr Ste B205
Gilbert, AZ 85297-7318
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-7761
Phone (602) 933-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891970216 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2065 S Cottonwood Dr
Tempe, AZ 85282-3040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2162 | NV | MD | Specialist |
| LPT-01025 | AZ | MD | Physical Therapist |
| 013642 | OH | MD | Physical Therapist |
| 10205 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Performance Center LLC | Physical Therapist | Current | Accepting new patients |
| Orthosport Physical Therapy and Sports Performance, Inc | Orthopedic | Past | Accepting new patients |
| In-Home Physical Therapy PC | Past | Accepting new patients | |
| Stac Physical Therapy Pfi, Inc | Physical Therapist | Past | Accepting new patients |
| Personally Fit Inc | Physical Therapist | Past | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
2065 S Cottonwood Dr
#1
Tempe, AZ 85282
Phone (480) 968-2020
2065 S Cottonwood Dr
Ste 1
Tempe, AZ 85282
Phone (480) 818-7767
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tempe, AZ
- NPI 1730146283
-
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
-
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
- Multi-Specialty Clinic/Center
- Encinitas, CA
- NPI 1588800874
-
- Orthopedic Physical Therapist
- Las Vegas, NV
- NPI 1952457038
-
- Physical Therapist
- San Diego, CA
- NPI 1043390073
-
- Physical Therapist
- San Diego, CA
- NPI 1427703354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1891970216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167761",
"telephone_number": "602-933-3124",
"fax_number": "480-895-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 S VAL VISTA DR STE B205",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977318",
"telephone_number": "602-933-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNABB",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "2162",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35726",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "013642",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "10205",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-01025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891970216",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.