Individual provider Active NPI

Quinn Esden De la Concepcion, DPT

  • Physical Therapist
  • Sun City, AZ
National Provider Identifier
1922527621
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13276PT Issued in AZ
Practice address
10746 W Bell Rd
Sun City, AZ 85351-1073
Phone
(623) 322-0654
NPI assigned
Sep 13, 2017
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13276PT AZ Primary

Addresses

Primary practice location

10746 W Bell Rd
Sun City, AZ 85351-1073

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000186 AZ Practitioner - Physical Therapist in Private Practice 4486910379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

10746 W Bell Rd
Sun City, AZ 85351-1073
Phone (623) 322-0654

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13276PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Aug 22, 2017 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations (25 of 45)

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

3131 S Market St
Ste 109
Gilbert, AZ 85295

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

3900 E Camelback Rd
Ste 185
Phoenix, AZ 85018
Phone (623) 233-8098

333 E Osborn Rd
Ste 101
Phoenix, AZ 85012
Phone (602) 388-4026

2827 W Peoria Ave
Ste B112
Phoenix, AZ 85029
Phone (602) 610-8665

6036 N 19th Ave
Ste 303
Phoenix, AZ 85015
Phone (602) 313-4155

706 E Bell Rd
Ste 121
Phoenix, AZ 85022
Phone (602) 313-4022

9250 W Thomas Rd
Ste 280
Phoenix, AZ 85037
Phone (602) 313-4227

4025 E Chandler Blvd
Ste 60
Phoenix, AZ 85048
Phone (480) 417-5271

7000 N 16th St
Ste 150
Phoenix, AZ 85020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1922527621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10746 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511073",
            "telephone_number": "623-322-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CONCEPCION",
        "first_name": "QUINN",
        "middle_name": "ESDEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13276PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.

Verify at the official NPI Registry.