MDR Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MDR PHYSICAL THERAPY INC.

Doing business as

Agility Spine and Sports PT

Practice address

8987 E Tanque Verde Rd
Ste. 301
Tucson, AZ 85749-9610

Phone

(520) 884-4292

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark D Roberts, P.T.

Title

Ceo

Phone

(520) 884-9819

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Agility Spine and Sports PT Doing business as

Locations

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1972869626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD",
            "address_2": "STE. 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-884-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD",
            "address_2": "STE. 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-884-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDR PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-884-9819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524805",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agility Spine and Sports PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MD Anesthesia PLLC
• MD Cares at Oro Valley LLC (AmeriCare Tucson)
• MD House Calls, PLLC
• MD NP Adult Medicine LLC
• MDR Physical Therapy Inc
• MDR Physical Therapy, Inc (Agility Spine and Sports Physical Therapy)
• Mdvip365 (Priority Medical Group)
• Kallie Meade, PT, DPT
• Shayse Meade, RN
• John Kyle Meades, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.