Active NPI
Amy Heather Flory, PT
- Physical Therapist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3914
- Practice address
- 906 W University Ave
Suite 120
Flagstaff, AZ 86001 - Phone
- (928) 556-9935
- Fax
- (928) 774-4277
- NPI assigned
- Dec 8, 2006
- Last updated
- Feb 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3914 | AZ | Primary |
Addresses
Primary practice location
906 W University Ave
Suite 120
Flagstaff, AZ 86001
Mailing address
906 W University Ave
Suite 120
Flagstaff, AZ 86001
Phone (928) 556-9935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381525 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2912 N W St
Flagstaff, AZ 86004-1974
Phone (928) 214-7430
5200 E Cortland Blvd
Suite C1
Flagstaff, AZ 86004-9341
Phone (928) 440-5094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3914 | AZ | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
2250 Highway 95
Ste B390
Bullhead City, AZ 86442
Phone (928) 610-2001
1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607
2912 N West St
Flagstaff, AZ 86004
Phone (928) 214-7430
906 W University Ave
Ste 120
Flagstaff, AZ 86001
Phone (928) 556-9935
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Medicine & Rehabilitation Physician
- Flagstaff, AZ
- NPI 1659572147
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Flagstaff, AZ
- NPI 1821764143
Physical Therapist
-
dba Banner Physical Therapy and Rehabilitation
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1902965304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W UNIVERSITY AVE",
"address_2": "SUITE 120",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86001",
"telephone_number": "928-556-9935",
"fax_number": "928-774-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W UNIVERSITY AVE",
"address_2": "SUITE 120",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86001",
"telephone_number": "928-556-9935",
"fax_number": "928-774-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORY",
"first_name": "AMY",
"middle_name": "HEATHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381525",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.