PT ACTIVE CARE, PLLC (NPI# 1396099552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396099552 |
| Entity Type | Organization |
| Organization Name | PT ACTIVE CARE, PLLC |
| Practice Address |
8914 N 91st Ave Peoria AZ 85345-8390 |
| Mailing Address |
8914 N 91st Ave 100 Peoria AZ 85345-8390 |
| Practice Telephone | 6238770100 |
| Mailing Telephone | 6238770100 |
| Mailing Fax Number | 6232980656 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | DENA HACKWORTH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6238770100 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEORIA URGENT CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
8914 N 91ST AVE |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-8390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700137650 | Olive Surgical Care, LLC | Clinic/Center | 8914 N 91st Ave, Suite 120, Peoria, AZ 85345-8390 | 2012-10-01 |
| 1881145126 | Deborah Kay Laverty | Nurse Practitioner | 8914 N 91st Ave, Peoria, AZ 85345-8396 | 2016-10-21 |
| 1881000339 | Westgaterx Pharmacy | Pharmacy | 8914 N 91st Ave, S 100c, Peoria, AZ 85345-8396 | 2014-07-04 |
| 1942624622 | Olive Surgical Care, LLC | Clinic/Center | 8914 N 91st Ave, Suite 100-a, Peoria, AZ 85345-8396 | 2014-02-14 |
| 1811248768 | Peoria Urgent Care Center,llc | Clinic/Center | 8914 N 91st Ave, Suite 100, Peoria, AZ 85345-8390 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1710487707 | Desert Edge Physical Therapy, LLC | Clinic/Center | 21391 N Lake Pleasant Pkwy Ste 1810, Peoria, AZ 85382-2000 | 2018-02-15 |
| 1609299494 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 8643 W Kelton Ln Ste 106, Peoria, AZ 85382-3505 | 2014-01-29 |
| 1578746392 | Smith Spine & Orthopaedic Physical Therapy, LLC | Clinic/Center | 8126 W Carlota Ln, Peoria, AZ 85383-2196 | 2007-12-15 |
| 1689853160 | Physiotherapy Associates | Clinic/Center | 16140 N Arrowhead Fountains Ctr Dr Ste 105, Peoria, AZ 85382-4789 | 2007-10-31 |
| 1003995606 | Physiotherapy Associates Inc | Clinic/Center | 16155 N 83rd Ave, Suite 105, Peoria, AZ 85382-5815 | 2006-11-03 |
| 1194733816 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7400 W. Olive Avenue, Suite 1, Peoria, AZ 85345 | 2006-08-04 |
| 1639565880 | Champion Fitness, Inc | Clinic/Center | 5401 N Knoxville Ave Ste 117, Peoria, IL 61614-5068 | 2015-04-14 |
| 1730592809 | Matthew George Zanis | Clinic/Center | 9745 W Happy Valley Rd, Peoria, AZ 85383-1241 | 2014-06-06 |
| 1841638228 | Lisenby Physical Therapy for Women, Inc. | Clinic/Center | 5009 N Executive Dr Ste B, Peoria, IL 61614 | 2013-06-07 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.