Desert Jayhawk, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DESERT JAYHAWK, LLC

Doing business as

SOS Physical therapy- Florence

Practice address

99 E Butte Ave
Florence, AZ 85132-0059

Phone

(520) 759-7000

NPI assigned

May 31, 2024

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley F Carr

Title

General Manager

Phone

(480) 495-6574

Specialties & licenses 1

Addresses

Other names 1

• SOS Physical therapy- Florence Doing business as

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1982445318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323011",
            "telephone_number": "520-759-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E BUTTE AVE",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851320059",
            "telephone_number": "520-759-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT JAYHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "480-495-6574"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS Physical therapy- Florence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cten Health & Wellness LLC
• George Darouiche, PHARMD
• Deanna Dawson, RPH
• Kayla Shaye Deacon, PHARMD
• Sarah J. Denson, D.C., FIAMA
• Desert Oasis Healing LLC
• Desert Sage Primary Care, PLLC
• Desert Sun Emergency Physicians LLC
• Dignity Recovery Center LLC
• Robin F Edwards, FNP

• Physical Therapy Clinic/Center in Florence, AZ
• Providers in Florence, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.