NPIMap

Organization Active NPI

Physical Therapy of Tempe

  • Physical Therapy Clinic/Center
  • Tempe, AZ
National Provider Identifier
1932439031
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6614 Issued in AZ
Legal business name
PHYSICAL THERAPY OF TEMPE
Practice address
1030 E Baseline Rd Ste 178
Tempe, AZ 85283-1371
Phone
(480) 755-7868
Fax
(480) 755-7871
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Eric Moody
Title
Credentialing Coordinator
Phone
(480) 755-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6614 AZ Primary

Addresses

Primary practice location

1030 E Baseline Rd Ste 178
Tempe, AZ 85283-1371

Mailing address

1030 E Baseline Rd Ste 178
Tempe, AZ 85283-1371
Phone (480) 755-7868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1932439031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E BASELINE RD STE 178",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831371",
            "telephone_number": "480-755-7868",
            "fax_number": "480-755-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E BASELINE RD STE 178",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831371",
            "telephone_number": "480-755-7868",
            "fax_number": "480-755-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF TEMPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "480-755-7868"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.