SPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY (NPI# 1912904764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904764 |
| Entity Type | Organization |
| Organization Name | SPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY |
| Practice Address |
20715 E Ocotillo Rd Suite 103 Queen Creek AZ 85242-6118 |
| Practice Telephone | 4808881558 |
| Mailing Telephone | 4808881558 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STAN F CARR (PRESIDENT / OWNER) |
| Authorized Official Telephone | 4808881558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
20715 E OCOTILLO RD SUITE 103 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536554 | Picacho 1, LLC | Physical Therapist | 20715 E Ocotillo Rd, Suite 103, Queen Creek, AZ 85142 | 2018-11-07 |
| 1033468202 | Tanya Nicole Turner | Nurse Practitioner | 20715 E Ocotillo Rd, Ste. 102, Queen Creek, AZ 85142-6118 | 2012-09-04 |
| 1407097413 | Darren Elg, Od LLC | Optometrist | 20715 E Ocotillo Rd, Ste 101, Queen Creek, AZ 85142-6118 | 2009-03-20 |
| 1750522876 | Kirk T Reed Od PC | Optometrist | 20715 E Ocotillo Rd, Ste 101, Queen Creek, AZ 85242-6118 | 2009-03-19 |
| 1609013978 | Thomas Lowe Hunt | Physical Therapist | 20715 E Ocotillo Rd, Ste 103, Queen Creek, AZ 85242-6118 | 2009-01-08 |
| 1841401379 | Spine Orthopedic & Sports Physical Therapy Inc. | Physical Therapist | 20715 E Ocotillo Rd, Suite 103, Queen Creek, AZ 85142-6118 | 2007-05-25 |
| 1982777553 | Dan Hoag, D.o., Plc | Family Medicine | 20715 E Ocotillo Rd, Suite 102, Queen Creek, AZ 85142-6118 | 2006-11-15 |
| 1255403853 | Daniel B Hoag | Family Medicine | 20715 E Ocotillo Rd, Suite 102, Queen Creek, AZ 85142-6118 | 2006-11-15 |
| 1346313905 | Daryn Mcclure, M.d., PC | Family Medicine | 20715 E Ocotillo Rd, Suite 102, Queen Creek, AZ 85142-6118 | 2006-11-15 |
| 1689636516 | Jeff M Carr | Physical Therapist | 20715 E Ocotillo Rd, Suite 103, Queen Creek, AZ 85242-6118 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388133 | Williams Performance Physical Therapy LLC | Clinic/Center | 18510 E San Tan Blvd, Queen Creek, AZ 85142-7186 | 2017-07-14 |
| 1427239771 | Kempton and Kempton Physical Therapy and Sports Rehabilitation LLC | Clinic/Center | 8495 S Power Rd Ste 103, Queen Creek, AZ 85142-6068 | 2007-11-15 |
| 1720167240 | Physiotherapy Associates Inc | Clinic/Center | 22719 S Ellsworth Rd, Suite C-101, Queen Creek, AZ 85242-6119 | 2006-11-03 |
| 1558983890 | Desert Winds Physical Therapy LLC | Clinic/Center | 37061 N Stoneware Dr, Queen Creek, AZ 85140-5290 | 2020-05-09 |
| 1811533995 | Vance Physical Therapy, LLC | Clinic/Center | 20220 E Bronco Dr, Queen Creek, AZ 85142-6030 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1073129698 | Dynamic Performance and Recovery, LLC | Clinic/Center | 7800 E Pierce St, Scottsdale, AZ 85257-4606 | 2020-09-18 |
| 1073129821 | Epperson Physical Therapy Pllc | Clinic/Center | 5375 E Seven Palms Dr, Cave Creek, AZ 85331-2153 | 2020-09-17 |
| 1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
| 1770110801 | Mobile Physical Therapy Pllc | Clinic/Center | 112 N Elden St, Flagstaff, AZ 86001-5295 | 2020-03-26 |
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1922644681 | Apexnetwork Wellton LLC | Clinic/Center | 28873 Commerce Way, Wellton, AZ 85356-7058 | 2019-11-18 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on SPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY.
| 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.