Active NPI
Michael Peronace
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-011848
- Practice address
- 20325 N 51St Ave Ste 150
Glendale, AZ 85308-4622 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Aug 30, 2006
- 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 | LPT-011848 | AZ | Primary |
Addresses
Primary practice location
20325 N 51St Ave Ste 150
Glendale, AZ 85308-4622
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Other practice location 1
2902 W Agua Fria Fwy Ste 1090
Phoenix, AZ 85027-3970
Phone (602) 648-5444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011848 | Other | AZ | LICENSE |
| PT01799 | Other | RI | LICENSE # |
| 006428 | Other | CT | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20325 N 51St Ave
Suite 150
Glendale, AZ 85308-4622
Phone (602) 795-6300
9784 W Yearling Rd BLDG B
1520 Osr Physical Therapy
Peoria, AZ 85383-1379
Phone (623) 412-2117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-011848 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic & Sport Rehab Specialists at Anthem, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Past | Accepting new patients |
Locations
20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300
9784 W Yearling Rd
Bldg B
Peoria, AZ 85383
Phone (623) 412-2117
41125 N Daisy Mountain Dr
Ste 125
Phoenix, AZ 85086
Phone (480) 265-2132
2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
14202 N Scottsdale Rd
Ste 169
Scottsdale, AZ 85254
Phone (480) 265-2122
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Anthem, AZ
- NPI 1821109356
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1144543257
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1992815583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE STE 150",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084622",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [
{
"address_1": "2902 W Agua Fria Fwy Ste 1090",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850273970",
"country_code": "US",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERONACE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-011848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "011848",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PT01799",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "006428",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.