Varsity Physical Therapy, L.L.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5471 Issued in AZ

Legal business name

VARSITY PHYSICAL THERAPY, L.L.C.

Doing business as

Varsity PT

Practice address

10214 N Tatum Blvd
Phoenix, AZ 85028-5216

Phone

(480) 264-6326

Fax

(480) 264-6328

NPI assigned

Aug 22, 2008

Last updated

Dec 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Kevin Clark, PTNPI 1093722902

Title

Owner

Phone

(480) 236-5360

Specialties & licenses 1

Addresses

Other names 1

• Varsity PT Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Kevin Clark, P.T.

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1093722902
  Authorized official Same address or phone

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1922255744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD",
            "address_2": "SUITE B-500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284231",
            "telephone_number": "480-264-6326",
            "fax_number": "480-264-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850285216",
            "telephone_number": "480-264-6326",
            "fax_number": "480-264-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSITY PHYSICAL THERAPY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-236-5360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varsity PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kacey Varnell, OTR/L
• Michelle Susan Varnell, ATC
• Patrick K Varney, MA, MS, LAC, LASAC
• Rebecca Lynn Varney, DPM
• Nancy E Varsano, CDE, RD
• Taya Varteresian, D.O.
• Alysha Keren Vartevan, D.O.
• Vijaysing A Vasadia, PA
• Kianna Yadira Vasavilbaso
• Dennis Neil Vasche, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.