NPIMap

Organization Active NPI

Orthopedic Therapy and Wellness

Doing business as Orthopedic Sports Therapy

  • Orthopedic Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1922842483
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ORTHOPEDIC THERAPY AND WELLNESS
Doing business as
Orthopedic Sports Therapy
Practice address
6245 N 24TH St Ste 105
Phoenix, AZ 85016-2034
Phone
(602) 997-7844
Fax
(480) 718-8160
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC THERAPY AND WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Shawna Mathias
Title
Office Manager
Phone
(480) 921-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

6245 N 24TH St Ste 105
Phoenix, AZ 85016-2034

Mailing address

2525 S Rural Rd Ste 5S
Tempe, AZ 85282-2444
Phone (480) 921-9000

Other names 1

  • ORTHOPEDIC SPORTS THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130207000462 AZ Part B Supplier - Clinic/Group Practice 4880848415 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Tempe, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Therapy and Wellness3 organizations share this tax ID, including this one
Part of
Orthopedic Therapy and Wellness

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2525 S Rural Rd
Ste 5S
Tempe, AZ 85282
Phone (480) 921-9000

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1922842483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD STE 5S",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822444",
            "telephone_number": "480-921-9000",
            "fax_number": "480-718-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N 24TH ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162034",
            "telephone_number": "602-997-7844",
            "fax_number": "480-718-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC THERAPY AND WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC THERAPY AND WELLNESS",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-921-9000"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC SPORTS THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.