Marana Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MARANA PHYSICAL THERAPY LLC

Practice address

9190 N Coachline Blvd Ste 100
Tucson, AZ 85743-7359

Phone

(520) 308-4878

Fax

(520) 308-4874

NPI assigned

Jan 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Connie C McCollow, P.T.

Title

Owner

Phone

(520) 308-4878

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Cherie B. Miller-Gray, OTR/L, CHT

  • Occupational Therapist
  • Oro Valley, AZ
  • NPI 1083645295
  NPD (past)
• Lynn Adrienne Zoske, PT

  • Contractor
  • Tucson, AZ
  • NPI 1790099869

  Single Specialty

  NPD (past)
• Kenneth Lee Diehl, P.T.

  • Physical Therapist
  • Kailua Kona, HI
  • NPI 1396841300
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1922086883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 N COACHLINE BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437359",
            "telephone_number": "520-308-4878",
            "fax_number": "520-308-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 N COACHLINE BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437359",
            "telephone_number": "520-308-4878",
            "fax_number": "520-308-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "MCCOLLOW",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-308-4878",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0460840",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS PROVIDER #",
            "identifier": "200668200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marana Health Center, Inc
• Marana Health Center, Inc
• Marana Health Center, Inc.
• Marana Health Center, Inc.
• Marana Health Center, Inc.
• Marana Teen Wellness Center
• Brian Lim Marasigan, M.D.
• Marble Health Medical Group, P.a.
• Jolene Wieczorek Marcelli, R.N.
• Marcelo Nasif, MD, PC

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.