Michelle Gavura, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

6249 Issued in AZ

Practice address

7208 E. Cave Creek Rd
Carefree, AZ 85337-5924

Phone

(480) 488-9095

Fax

(480) 488-2862

NPI assigned

Sep 6, 2013

Last updated

Sep 6, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1952736159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5924",
            "address_2": "7208 E. CAVE CREEK RD",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853775924",
            "telephone_number": "480-488-9095",
            "fax_number": "480-488-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 E. CAVE CREEK RD",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853375924",
            "telephone_number": "480-488-9095",
            "fax_number": "480-488-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVURA",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "6249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Carefree, AZ
• Providers in Carefree, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.