ORTHOPEDIC & SPORT REHAB SPECIALISTS AT ANTHEM, LLC (NPI# 1821109356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821109356 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPORT REHAB SPECIALISTS AT ANTHEM, LLC |
| Practice Address |
41125 N Daisy Mountain Dr Suite 121 Anthem AZ 85086-4956 |
| Mailing Address |
41125 N Daisy Mountain Dr Suite 125 Anthem AZ 85086-4956 |
| Practice Telephone | 6235519706 |
| Practice Fax Number | 6235519708 |
| Mailing Telephone | 6235519706 |
| Mailing Fax Number | 6235515078 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | MR. AARON H WILLIAMS (CEO) |
| Authorized Official Telephone | 6235519706 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTH PARTNERS GROUP# | 111737 | 01 |
| AZ | BCBS AZ GROUP# | AZ0460610 | 01 |
| AZ | MERCY HEALTHCARE GROUP# | G5841 | 01 |
| AZ | HEALTHNET GROUP# | Z13579 | 01 |
| Street Address |
41125 N DAISY MOUNTAIN DR SUITE 121 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724462 | Kendra K Williams | Physical Therapist | 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4954 | 2006-03-14 |
| 1376996868 | Stetson Hills Family Medicine Plc | Nurse Practitioner | 41125 N Daisy Mountain Dr, Ste. 109, Anthem, AZ 85086-4954 | 2016-07-20 |
| 1174973523 | Amy Lynn Msowoya | Nurse Practitioner | 41125 N Daisy Mountain Dr, Suite 109, Anthem, AZ 85086-4954 | 2016-06-16 |
| 1790183556 | Stephen Grant | Physical Therapist | 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4954 | 2014-12-10 |
| 1043610835 | Brittany Peters | Physical Therapist | 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4954 | 2014-08-28 |
| 1336456003 | Sean Faby | Physical Therapist | 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4954 | 2010-09-01 |
| 1316140916 | Troy Matthew Merckle | Physical Therapist | 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4954 | 2007-06-09 |
| 1417165754 | Andrew C Wen | Acupuncturist | 41125 N Daisy Mountain Dr, Anthem, AZ 85086-4954 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465842 | Julia Ostoich | Physical Therapist | 41125 N Daisy Mountain Dr Suite 121, Anthem, AZ 85056 | 2017-09-05 |
| 1073061776 | Theraphy LLC | Physical Therapist | 42201 N 41st Dr Ste 168, Anthem, AZ 85086-3803 | 2016-09-12 |
| 1922468024 | Sasha Schippers | Physical Therapist | 41818 N Venture Dr Ste 120, Anthem, AZ 85086-3189 | 2016-03-02 |
| 1073717005 | Katherine Elizabeth Furnish | Physical Therapist | 43136 N National Trl, Anthem, AZ 85086-8073 | 2007-06-13 |
| 1306049655 | Gavilan Peak Physical Therapy | Physical Therapist | 3624 W Anthem Way Ste C106, Anthem, AZ 85086-0454 | 2007-06-06 |
| 1386856623 | Brian Tortorella | Physical Therapist | 41408 N Hudson Trl, Anthem, AZ 85086-3746 | 2007-05-06 |
| 1396758868 | Charles T Gifford | Physical Therapist | 42211 N 41st Dr, Suite 169, Anthem, AZ 85086-3810 | 2006-08-14 |
| 1245282961 | Christopher Stephen O'donnell | Physical Therapist | 41818 N Venture Drive, Suite 120, Anthem, AZ 85086 | 2006-05-17 |
| 1891790119 | Michael D Beebe | Physical Therapist | 3654 W Anthem Way, Ste B102, Anthem, AZ 85086-0455 | 2005-06-14 |
| 1336141514 | David Tyrone Harper | Physical Therapist | 41818 N Venture Dr, Ste 120, Anthem, AZ 85086-3188 | 2005-06-01 |
| Find all providers in ANTHEM | ||||
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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.