TRAVELING PHYSICAL THERAPIST PLLC (NPI# 1740721406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740721406 |
| Entity Type | Organization |
| Organization Name | TRAVELING PHYSICAL THERAPIST PLLC |
| Other Organization Name | TPT |
| Practice Address |
520 W Sheldon St Ste 6 Prescott AZ 86301-2717 |
| Mailing Address |
353 Cimarron Ct Prescott AZ 86301-1563 |
| Practice Telephone | 9285151748 |
| Practice Fax Number | 9284455054 |
| Mailing Telephone | 9285154178 |
| Mailing Fax Number | 9282336932 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | MS. BARBARA KAY BUTLER (CEO) |
| Authorized Official Telephone | 9285151748 |
| Authorized Official Credential | ORTHOTIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | C51320 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ORTHOTIST | C51320 | 01 |
| Other Name | Type Code |
|---|---|
| TPT | Doing Business As Name - Organization |
| Street Address |
520 W SHELDON ST STE 6 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700013786 | Sleep Synergies, LLC | Prosthetic/Orthotic Supplier | 1678 Oaklawn Dr, Suite C-2, Prescott, AZ 86305-1109 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
| 1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
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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.