SPOONER PHYSICAL THERAPY & HAND REHAB, PC (NPI# 1124240270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124240270 |
| Entity Type | Organization |
| Organization Name | SPOONER PHYSICAL THERAPY & HAND REHAB, PC |
| Other Organization Name | SPOONER DESERT RIDGE |
| Practice Address |
20830 N Tatum Blvd Ste 170 Suite 150 Phoenix AZ 85050-7252 |
| Mailing Address |
9097 E Desert Cove Ave Ste 110 Scottsdale AZ 85260-6276 |
| Practice Telephone | 4805025510 |
| Practice Fax Number | 4805384862 |
| Mailing Telephone | 6023298250 |
| Mailing Fax Number | 4805651898 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | TIMOTHY A SPOONER (PRESIDENT) |
| Authorized Official Telephone | 4805514958 |
| Authorized Official Credential | PT |
| Is Organization Subpart | Y |
| Parent Organization Name | SPOONER PHYSICAL THERAPY & HAND REHAB, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 321536 | 05 |
| Other Name | Type Code |
|---|---|
| SPOONER DESERT RIDGE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104478320 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 7555 E Osborn Rd Ste 200, Scottsdale, AZ 85251-6442 | 2019-07-09 |
| 1124530092 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 5215 W Baseline Rd Ste 101, Laveen, AZ 85339-2943 | 2017-10-31 |
| 1104278928 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 717 W Dunlap Ave Ste 100, Phoenix, AZ 85021-3521 | 2016-07-05 |
| 1538543277 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 7931 E Pecos Rd, Suite 104, Mesa, AZ 85212-6501 | 2015-07-13 |
| 1376950428 | Spooner Physical Therapy & Hand Rehab, PC | Physical Therapist | 2301 E Yeager Dr Ste 3, Chandler, AZ 85286-1578 | 2014-07-21 |
| 1609299494 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 8643 W Kelton Ln Ste 106, Peoria, AZ 85382-3505 | 2014-01-29 |
| 1104048248 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 5040 N 15th Ave Ste 401, Phoenix, AZ 85015-3332 | 2007-05-02 |
| 1437370525 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 1626 N Litchfield Rd Ste 310, Goodyear, AZ 85395-1397 | 2007-05-02 |
| 1194814137 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 5750 S. 32nd Street, Phoenix, AZ 85040 | 2006-10-11 |
| 1114424868 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 16968 W Bell Rd # D401, Surprise, AZ 85374-8943 | 2018-04-10 |
| Street Address |
20830 N TATUM BLVD STE 170 SUITE 150 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238915 | Andrew Latta | Physical Therapist | 20830 N Tatum Blvd Ste 170, Phoenix, AZ 85050-7252 | 2019-07-25 |
| 1831642677 | Garrett Wasson | Physical Therapist | 20830 N Tatum Blvd Ste 170, Phoenix, AZ 85050-7252 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| 1750931267 | Life Clinic of Az PC | Clinic/Center | 2580 E Camelback Rd, Phoenix, AZ 85016-4204 | 2019-09-17 |
| 1831650431 | Best Performance & Therapy | Clinic/Center | 11042 N 24th Ave, Phoenix, AZ 85029-4777 | 2019-03-26 |
| 1356828511 | Foothills Therapy Partners, LLC | Clinic/Center | 4455 E Camelback Rd Bldg A, Phoenix, AZ 85018-2843 | 2018-07-20 |
| 1053801993 | Foothills Sports Medicine & Physical Therapy - Tatum Shea LLC | Clinic/Center | 11250 N Tatum Blvd, Phoenix, AZ 85028-2306 | 2018-05-16 |
| 1134632342 | Kernan Manual Physical Therapy, LLC | Clinic/Center | 3819 E Indian School Rd, Phoenix, AZ 85018-5234 | 2017-11-09 |
| 1164934667 | Katelyn A Crist | Clinic/Center | 2650 E Mcdowell Rd Ste 200, Phoenix, AZ 85008-3658 | 2017-10-25 |
| 1104278928 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 717 W Dunlap Ave Ste 100, Phoenix, AZ 85021-3521 | 2016-07-05 |
| 1093193716 | Advanced Medical Therapy LLC | Clinic/Center | 15640 N 7th St Ste 6, Phoenix, AZ 85022-3538 | 2015-05-14 |
| Find all providers in PHOENIX | ||||
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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.