Active NPI
David Max Hancock, PT
- Physical Therapist
- Casa Grande, AZ
National Provider Identifier
1972531697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2326
- Practice address
- 1821 N Trekell Rd
Suite 8
Casa Grande, AZ 85222-1705 - Phone
- (520) 836-3009
- Fax
- (520) 836-4218
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2326 | AZ | Primary |
Addresses
Primary practice location
1821 N Trekell Rd
Suite 8
Casa Grande, AZ 85222-1705
Mailing address
1821 N Trekell Rd
Suite 8
Casa Grande, AZ 85222-1705
Phone (520) 836-3009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2326 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Casa Grande, AZ
- NPI 1316983281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972531697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 N TREKELL RD",
"address_2": "SUITE 8",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852221705",
"telephone_number": "520-836-3009",
"fax_number": "520-836-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 N TREKELL RD",
"address_2": "SUITE 8",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852221705",
"telephone_number": "520-836-3009",
"fax_number": "520-836-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "DAVID",
"middle_name": "MAX",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "2326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.