NPIMap

Organization Active NPI

Performance Physical Therapy, LLC

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1962511949
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5457 Issued in AZ
Legal business name
PERFORMANCE PHYSICAL THERAPY, LLC
Practice address
8725 S Kyrene Rd
Ste 106
Tempe, AZ 85284-2116
Phone
(480) 756-8617
Fax
(480) 820-9909
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Darrin E Larsen, P.T.NPI 1467471722
Title
Owner
Phone
(480) 756-8617

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5457 AZ Primary

Addresses

Primary practice location

8725 S Kyrene Rd
Ste 106
Tempe, AZ 85284-2116

Mailing address

8725 S Kyrene Rd
Ste 106
Tempe, AZ 85284-2116
Phone (480) 756-8617

Other identifiers 3

IdentifierTypeStateIssuer
2Z2989OtherAZHEALTHNET
318389OtherAZARIZONA HEALTHCARE COST CONTAINMENT SYSTEM (AHCCCS)
DF6555OtherAZRR MEDICARE

National Provider Directory

National Provider Directory

Locations

950 E Riggs Rd
Ste 8
Chandler, AZ 85249
Phone (480) 802-8730

4494 W Peoria Ave
Ste 116B
Glendale, AZ 85302
Phone (623) 934-1154

13933 W Grand Ave
Ste 301
Surprise, AZ 85374
Phone (623) 474-3952

7305 S Kyrene Rd
Ste 106
Tempe, AZ 85283
Phone (480) 756-8617

430 W Warner Rd
Ste 111
Tempe, AZ 85284
Phone (480) 756-8617

8725 S Kyrene Rd
Ste 106
Tempe, AZ 85284
Phone (480) 689-5520

1121 W Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 756-8617

3189 N Cyn Rd
Provo, UT 84604
Phone (801) 375-6500

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1962511949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 S KYRENE RD",
            "address_2": "STE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842116",
            "telephone_number": "480-756-8617",
            "fax_number": "480-820-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 S KYRENE RD",
            "address_2": "STE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842116",
            "telephone_number": "480-756-8617",
            "fax_number": "480-820-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-756-8617",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z2989",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA HEALTHCARE COST CONTAINMENT SYSTEM  (AHCCCS)",
            "identifier": "318389",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF6555",
            "state": "AZ"
        }
    ],
    "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 May 23, 2008; 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.