Nathanial David Phillips, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

LT-30830 Issued in AZ

Practice address

41125 N Daisy Mountain Dr Ste 121
Anthem, AZ 85086-4964

Phone

(623) 551-9706

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Flint Physiotherapy

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1275207763
  Medicare reassignment NPD
• Trinity Physical Therapy and Sports Medicine

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1699592246
  NPD Authorized official

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1932755808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 121",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "623-551-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 121",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "623-551-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NATHANIAL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LT-30830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Petculescu, RN
• Brittany Peters
• Lori Ann Peterson, LMT, NCTMB
• John Pham, D.O.
• Paul Phan, DDS
• Sara Pinder, MS CCC-SLP CBIS
• Pamela Pino, PT
• Prescott Health Counseling PLLC
• Prescott Vamc
• John Q Quackenbush, D.C.

• Orthopedic Physical Therapist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.