Vision Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VISION PHYSICAL THERAPY, LLC

Practice address

19019 W Lynwood St
Buckeye, AZ 85396-9744

Phone

(480) 980-6498

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Brent Stauth, PT

Title

Member

Phone

(480) 980-6498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1992267884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 W LYNWOOD ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853969744",
            "telephone_number": "480-980-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19019 W LYNWOOD ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853969744",
            "telephone_number": "480-980-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "STAUTH",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-980-6498",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Buckeye, AZ
• Providers in Buckeye, 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 Apr 1, 2019; 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.