Varsity Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5471 Issued in AZ

Legal business name

VARSITY PHYSICAL THERAPY

Practice address

15720 N Greenway Hayden Loop
Suite 3
Scottsdale, AZ 85260

Phone

(480) 991-0757

Fax

(480) 483-6550

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Kevin Clark, PT

Title

Owner

Phone

(480) 236-5360

Specialties & licenses 1

Addresses

Other names 1

• Varsity PT Doing business as

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1962697854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 E MOUNTAIN VIEW RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-236-5360",
            "fax_number": "480-483-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 N GREENWAY HAYDEN LOOP",
            "address_2": "SUITE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-991-0757",
            "fax_number": "480-483-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-236-5360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varsity PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cyril Varghese, MD
• Erica Varner-Anderson, LAC
• Patricia Varner-Lederman, MS, CCC-SLP
• Margaret Ann Varner
• Nestor F Varon, M.D.
• Vasco Healthcare Inc
• Vascular and Interventional Partners PLLC
• Toure Tantendu Vashon, MD
• Rama Vasireddy, M. D.
• Alejandra Vasquez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.