Individual provider Active NPI

Mary Ann Thode, P.T.,MPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1992871982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
AZ3847 Issued in AZ
Practice address
9364 E Raintree Dr
Suite109
Scottsdale, AZ 85260-2200
Phone
(480) 661-1124
Fax
(480) 661-1125
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ3847 AZ Primary

Addresses

Primary practice location

9364 E Raintree Dr
Suite109
Scottsdale, AZ 85260-2200

Mailing address

9364 E Raintree Dr
Ste 109
Scottsdale, AZ 85260-2200
Phone (480) 661-1124

Other identifiers 3

IdentifierTypeStateIssuer
100386OtherAZPIN
0463050OtherAZBCBS OF AZ
2Z1802OtherAZHEALTH NET

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3847AZMDCommunity Health Worker
AZ3847AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physical Therapy, PC Past Accepting new patients
Arizona Orthopedic Physical Therapy, PLLC Past Accepting new patients
Vertex Physical Therapy Corp Physical Therapist PastSince Dec 1, 2004 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992871982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9364 E RAINTREE DR",
            "address_2": "STE 109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602200",
            "telephone_number": "480-661-1124",
            "fax_number": "480-661-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9364 E RAINTREE DR",
            "address_2": "SUITE109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602200",
            "telephone_number": "480-661-1124",
            "fax_number": "480-661-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THODE",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.T.,MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "AZ3847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "100386",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "0463050",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z1802",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.