PROOF PHYSICAL THERAPY AND PERFORMANCE, LLC (NPI# 1841736618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841736618 |
| Entity Type | Organization |
| Organization Name | PROOF PHYSICAL THERAPY AND PERFORMANCE, LLC |
| Practice Address |
460 N Switzer Canyon Dr Ste 400 Flagstaff AZ 86001-4851 |
| Practice Telephone | 9284403106 |
| Practice Fax Number | 9284386702 |
| Mailing Telephone | 9284403106 |
| Mailing Fax Number | 9284386702 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | JORDAN WILLIAMS (SOLE MEMBER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9284403106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10915 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
460 N SWITZER CANYON DR STE 400 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629480512 | Jordan C Williams | Physical Therapist | 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 | 2014-05-27 |
| 1336633973 | Carissa Lane | Physical Therapist | 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265567937 | Leopold Roger Labranche | Physical Therapist | 3909 E Thrush Ln, Flagstaff, AZ 86004-7710 | 2007-02-22 |
| 1336252022 | Peggy Mary Mahon | Physical Therapist | 1485 N. Turquoise Drive, Suite 220, Flagstaff, AZ 86001-1395 | 2006-08-16 |
| 1477525681 | Paul Matthew Larson | Physical Therapist | 2510 E 7th Ave, Flagstaff, AZ 86004-3719 | 2006-02-02 |
| 1982235792 | Benjamin Wakefield | Physical Therapist | 1510 S Riordan Ranch St, Flagstaff, AZ 86001-6372 | 2020-01-30 |
| 1013436310 | Nicholas Woods | Physical Therapist | 1485 N Turquoise Dr Ste 220, Flagstaff, AZ 86001-2000 | 2017-09-18 |
| 1225341118 | Ariel Leah Coffey | Physical Therapist | 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001-1479 | 2010-07-20 |
| 1356653000 | Flagstaff Center for Bone and Joint Disorders | Physical Therapist | 77 W Forest Ave, 301, Flagstaff, AZ 86001-1479 | 2010-07-10 |
| 1104080118 | Ronald Earhart | Physical Therapist | 77 W Forest Ave, 301, Flagstaff, AZ 86001-1479 | 2008-07-18 |
| 1396844668 | Carl Peter Derosa | Physical Therapist | 1485 N Turquoise Dr, Suite 220, Flagstaff, AZ 86001-1398 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164505 | Imove Health LLC | Physical Therapist | 1054 S Fargo St, Chandler, AZ 85286-1078 | 2020-11-05 |
| 1457984841 | Caleb Lynch | Physical Therapist | 1055 N La Canada Dr Ste 123, Green Valley, AZ 85614-3700 | 2020-02-13 |
| 1790315992 | Kaylea Davis | Physical Therapist | 1675 E Melrose St, Gilbert, AZ 85297-1001 | 2020-01-16 |
| 1124667860 | Stephanie Laura Mundt | Physical Therapist | 10665 E Le Marche Dr, Scottsdale, AZ 85255-1925 | 2019-12-28 |
| 1932755808 | Nathanial David Phillips | Physical Therapist | 41125 N Daisy Mountain Dr Ste 121, Anthem, AZ 85086-4964 | 2019-08-15 |
| 1659937563 | Daniel Cooper | Physical Therapist | 20242 N 29th Pl, Phoenix, AZ 85050-4711 | 2019-05-15 |
| 1649836552 | Zachary Allen Cash | Physical Therapist | 20940 N Tatum Blvd Ste B290, Phoenix, AZ 85050-4265 | 2019-05-15 |
| 1578035630 | Premier Fitness Systems LLC | Physical Therapist | 7267 E Adobe Dr Ste 101, Scottsdale, AZ 85255-4032 | 2018-12-28 |
| 1053806729 | Melanie Topete | Physical Therapist | 2525 S Rural Rd Ste 5s, Tempe, AZ 85282-2444 | 2018-06-26 |
| 1104318344 | Freddy Ruiz Jr. | Physical Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2018-06-04 |
| 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.