Organization Active NPI

Integrated Pain Center of Arizona

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1992741425
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTEGRATED PAIN CENTER OF ARIZONA
Practice address
3945 E. Paradise Falls Dr.
#105
Tucson, AZ 85712-6683
Phone
(520) 797-7246
Fax
(520) 795-4249
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Kristie Renee Altherr
Title
Practice Manager
Phone
(520) 322-6274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

3945 E. Paradise Falls Dr.
#105
Tucson, AZ 85712-6683

Mailing address

3945 E. Paradise Falls Dr.
# 105
Tucson, AZ 85712-6683
Phone (520) 797-7246

Other identifiers 1

IdentifierTypeStateIssuer
913063MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3945 E Paradise Falls Dr
Ste 10
Tucson, AZ 85712
Phone (520) 797-7246

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1992741425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E. PARADISE FALLS DR.",
            "address_2": "# 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126683",
            "telephone_number": "520-797-7246",
            "fax_number": "520-795-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 E. PARADISE FALLS DR.",
            "address_2": "#105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126683",
            "telephone_number": "520-797-7246",
            "fax_number": "520-795-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN CENTER OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "ALTHERR",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "520-322-6274"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913063",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.