Active NPI
Skylar Flores, DPT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1982489712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32772
- Practice address
- 10323 W Olive Ave
Peoria, AZ 85345-7345 - Phone
- (623) 875-0100
- NPI assigned
- Aug 29, 2023
- 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 | 32772 | AZ | Primary |
Addresses
Primary practice location
10323 W Olive Ave
Peoria, AZ 85345-7345
Mailing address
9015 W Yellow Bird LN
Peoria, AZ 85383-3787
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1982489712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9015 W YELLOW BIRD LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10323 W OLIVE AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853457345",
"telephone_number": "623-875-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "SKYLAR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "32772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.