Foothills Sports Medicine & Physical Therapy - Glendale LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FOOTHILLS SPORTS MEDICINE & PHYSICAL THERAPY - GLENDALE LLC

Practice address

19420 N 59TH Ave Ste H830
Glendale, AZ 85308-6980

Phone

(623) 302-9020

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Michael Basten

Title

Owner

Phone

(480) 689-5515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1902375405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE H830",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086980",
            "telephone_number": "623-302-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SPORTS MEDICINE & PHYSICAL THERAPY - GLENDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "BASTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-689-5515"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Fontana, FNPC
• Foot & Ankle Specialists of Arizona PLLC
• Foot & Ankle Specialists of Arizona PLLC
• Foot & Ankle Specialists of Arizona PLLC
• Footcare Center - Dr. Mark Gorman, PC
• Foothills Sports Medicine & Physical Therapy - Stetson Village, LLC
• For the Community Florida
• Carolin Forbes, MS, CCC - SLP
• Rosemary Cynthia Forbes
• Lily Ann Forceskie

• Physical Therapy Clinic/Center in Glendale, AZ
• Providers in Glendale, 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 Nov 14, 2018; 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.