William Brian Kentopp, PT,DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5237 Issued in AZ

Practice address

1500 S Dobson Rd Ste 314
Mesa, AZ 85202-4752

Phone

(480) 833-7879

Fax

(480) 844-8411

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William Kentopp and John J BodineGroup PAC ID 3476878265, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William Kentopp and John J Bodine

  dba Succeed Physical Therapy & Wellness

  • Physical Therapist
  • Mesa, AZ
  • NPI 1952706038
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Farnsworth Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1801955455
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982614376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 314",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024752",
            "telephone_number": "480-833-7879",
            "fax_number": "480-844-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 314",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024752",
            "telephone_number": "480-833-7879",
            "fax_number": "480-844-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTOPP",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "credential": "PT,DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "5237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5237",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Kay Kenney, PH.D.
• Jessica Joy Kenney, RDH
• Michael Walter Kenney, D.C
• Kent W. Stapley, D.M.D, LLC
• McKenzie Rachel Kent
• Rebecca Kepner
• Emily Keranen, NMD
• Melissa Kerbel, PA-C
• Allison Kerby
• Derek Stephen Kern

• Orthopedic Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.