NORTHWEST ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC (NPI# 1073610440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073610440 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC |
| Practice Address |
14800 W Mountain View Blvd Ste 260 Surprise AZ 85374-4797 |
| Practice Telephone | 6235565013 |
| Practice Fax Number | 6235569290 |
| Mailing Telephone | 6235565013 |
| Mailing Fax Number | 6235569290 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | SCOTT E PETERSON (OWNER) |
| Authorized Official Telephone | 6235565013 |
| Authorized Official Credential | PT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | DF2066 | 01 |
| Street Address |
14800 W MOUNTAIN VIEW BLVD STE 260 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-4797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114412293 | Christina Elizabeth Mcnamara | Physical Therapy Assistant | 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374-4797 | 2018-06-29 |
| 1649770413 | Cynthia Rae Cannon | Physical Therapy Assistant | 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374-4797 | 2018-02-17 |
| 1275800286 | Selena Claire Courtney-koro | Physical Therapist | 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374-4797 | 2011-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871979195 | Shea Kl Campbell | Physical Therapist | 15459 W. Bell Rd, Suite 107, Surprise, AZ 85374 | 2015-08-10 |
| 1598926800 | Stephen Douglas Dillon | Physical Therapist | 13995 W Statler Blvd Ste 165, Surprise, AZ 85374-5501 | 2008-06-19 |
| 1366953549 | Rise Orthopedic and Sports Physical Therapy LLC | Physical Therapist | 12691 W Smokey Dr Ste 128, Surprise, AZ 85378-3801 | 2017-10-16 |
| 1942391032 | Scott E Peterson | Physical Therapist | 14800 W Mountain View Blvd, Suite 260, Surprise, AZ 85374-4795 | 2006-09-27 |
| 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.