NPIMap

Organization Active NPI

Northern Arizona Orthosports Physical Therapy Inc

  • Physical Therapist
  • Prescott Valley, AZ
National Provider Identifier
1922084243
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC
Practice address
2485 N Great Western Dr
F2
Prescott Valley, AZ 86314-6528
Phone
(928) 775-2765
Fax
(928) 772-9170
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
James Lee Missey, PT
Title
Secretary Treasuerer
Phone
(928) 775-2765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2485 N Great Western Dr
F2
Prescott Valley, AZ 86314-6528

Mailing address

PO Box 28042
Prescott Valley, AZ 86312-8042
Phone (928) 775-2765

National Provider Directory

National Provider Directory

Locations

537 6th St
Ste C
Prescott, AZ 86301
Phone (928) 771-9327

2485 N Great Western Dr
Ste F2
Prescott Valley, AZ 86314
Phone (928) 775-2765

Practitioners & affiliated clinicians

Practitioners 6

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": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1922084243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28042",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863128042",
            "telephone_number": "928-775-2765",
            "fax_number": "928-772-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 N GREAT WESTERN DR",
            "address_2": "F2",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146528",
            "telephone_number": "928-775-2765",
            "fax_number": "928-772-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "MISSEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SECRETARY TREASUERER",
        "authorized_official_telephone_number": "928-775-2765",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.