Self Solace Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6572 Issued in AZ

Legal business name

SELF SOLACE PHYSICAL THERAPY, INC

Practice address

16515 S 40TH St
Suite 133
Phoenix, AZ 85048-0558

Phone

(480) 704-6133

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Stickle

Title

Billing Manager

Phone

(480) 993-5993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1962649293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16044 S 18TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850451752",
            "telephone_number": "602-206-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST",
            "address_2": "SUITE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480558",
            "telephone_number": "480-704-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF SOLACE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "STICKLE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-993-5993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Physical Therapy Holdings Inc
• Select Specialty Hospital - Arizona Inc
• Select Specialty Hospital - Arizona Inc
• Select Specialty Hospital - Phoenix Inc
• Benjamin Craig Seleen
• Self Space LLC
• Selfcare Therapy LLC
• Miriam Sell, MD
• Ikea Robyn Sellars
• Ryon Sellers, MED, LBA, BCBA

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.