Organization Active NPI

Sky Blue Sky Corp

Doing business as Fyzical South Scottsdale

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1962167163
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SKY BLUE SKY CORP
Doing business as
Fyzical South Scottsdale
Practice address
3337 N Miller Rd
Scottsdale, AZ 85251-6495
Phone
(847) 997-4344
NPI assigned
Nov 2, 2021
Organization subpart
Yes
Parent organization
SKY BLUE SKY CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Jennifer StankoNPI 1346903267
Title
President
Phone
(847) 997-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3337 N Miller Rd
Scottsdale, AZ 85251-6495

Mailing address

3337 N Miller Rd
Scottsdale, AZ 85251-6495
Phone (847) 997-4344

Other names 1

  • Fyzical South Scottsdale Doing business as

National Provider Directory

National Provider Directory
Part of
Sky Blue Sky Corp

Locations

3337 N Miller Rd
Scottsdale, AZ 85251
Phone (480) 646-4427

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1962167163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 N MILLER RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516495",
            "telephone_number": "847-997-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 N MILLER RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516495",
            "telephone_number": "847-997-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY BLUE SKY CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKY BLUE SKY CORP",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "STANKO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-997-4344"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical South Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical South Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.