NPIMap

Organization Active NPI

Core Objectives Physical Therapy

  • Orthopedic Physical Therapist
  • Surprise, AZ
National Provider Identifier
1912214032
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT26401 Issued in CA
Legal business name
CORE OBJECTIVES PHYSICAL THERAPY
Practice address
13951 W Grand Ave
Surprise, AZ 85374-2436
Phone
(623) 537-9730
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Authorized official

Name
Lisa Hedien, PT
Title
Owner
Phone
(310) 374-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT26401 CA Primary

Addresses

Primary practice location

13951 W Grand Ave
Surprise, AZ 85374-2436

Mailing address

15621 W Sky Hawk Dr
Sun City West, AZ 85375-6514
Phone (310) 374-1614

National Provider Directory

National Provider Directory

Locations

1625 Aviation Blvd
Redondo Beach, CA 90278
Phone (310) 374-1614

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739059200000",
    "number": "1912214032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 W SKY HAWK DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756514",
            "telephone_number": "310-374-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 W GRAND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742436",
            "telephone_number": "623-537-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE OBJECTIVES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A",
        "authorized_official_last_name": "HEDIEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-374-1614",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.