Organization Active NPI

Roessler Physical Therapy

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1902120512
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1127 Issued in AZ
Legal business name
ROESSLER PHYSICAL THERAPY
Practice address
6245 N 24TH Pkwy
Ste 105
Phoenix, AZ 85016-2024
Phone
(602) 997-7844
Fax
(602) 997-8020
NPI assigned
Mar 25, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Mr. David Michael Roessler, PTNPI 1154376507
Title
Owner
Phone
(602) 997-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1127 AZ Primary

Addresses

Primary practice location

6245 N 24TH Pkwy
Ste 105
Phoenix, AZ 85016-2024

Mailing address

6245 N 24TH Pky
Ste 105
Phoenix, AZ 85016-2029
Phone (602) 997-7844

National Provider Directory

National Provider Directory

Locations

6245 N 24th Pkwy
Ste 105
Phoenix, AZ 85016
Phone (602) 997-7844

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1902120512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N 24TH PKY",
            "address_2": "STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162029",
            "telephone_number": "602-997-7844",
            "fax_number": "602-997-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N 24TH PKWY",
            "address_2": "STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162024",
            "telephone_number": "602-997-7844",
            "fax_number": "602-997-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROESSLER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "ROESSLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-997-7844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.